Active NPI
Susan E Teague, L.P.C.
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1811095284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3285
- Practice address
- 3015 E Skelly Dr
Suite 390
Tulsa, OK 74105-6317 - Phone
- (918) 665-0208
- Fax
- (918) 665-0216
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3285 | OK | Primary |
Addresses
Primary practice location
3015 E Skelly Dr
Suite 390
Tulsa, OK 74105-6317
Mailing address
20151 E 106TH St N
Claremore, OK 74019-5701
Phone (918) 688-4991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3285 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children'S Services, Inc | Past | Accepting new patients |
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 1457537037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811095284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20151 E 106TH ST N",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740195701",
"telephone_number": "918-688-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR",
"address_2": "SUITE 390",
"city": "TULSA",
"state": "OK",
"postal_code": "741056317",
"telephone_number": "918-665-0208",
"fax_number": "918-665-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3285",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.