Active NPI
John Ammons
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1780157404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11119
- Practice address
- 6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077 - Phone
- (918) 960-7852
- NPI assigned
- Jan 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11119 | OK | Primary |
Addresses
Primary practice location
6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Mailing address
6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Phone (918) 960-7852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231229001559 | OK | Practitioner - Mental Health Counselor | 7517317761 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Improving Lives Counseling Services Inc
Practice addresses (Care Compare)
6216 S Lewis Ave
Suite 180
Tulsa, OK 74136-1077
Phone (918) 960-7852
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11119 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Improving Lives Counseling Services, Inc. | Current | Accepting new patients |
Locations
3200 S Elm Pl
Ste 101
Broken Arrow, OK 74012
Phone (918) 268-7327
6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1487967444
OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1780157404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 S LEWIS AVE STE 180",
"city": "TULSA",
"state": "OK",
"postal_code": "741361077",
"telephone_number": "918-960-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 S LEWIS AVE STE 180",
"city": "TULSA",
"state": "OK",
"postal_code": "741361077",
"telephone_number": "918-960-7852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMONS",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-04",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "11119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.