Georgene W Dwyer, LPC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1238 Issued in OK

Practice address

403 S Cincinnati Ave
Tulsa, OK 74103-5048

Phone

(918) 633-8590

Fax

(918) 742-2322

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1811935224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 S ERIE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373528",
            "telephone_number": "918-633-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S CINCINNATI AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741035048",
            "telephone_number": "918-633-8590",
            "fax_number": "918-742-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "GEORGENE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2725",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432227399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassie Duvall
• Dvis
• Dvis/Call Rape
• Amy Dwerlkotte, LCSW
• Mina Martha Dwumfour-Poku
• Lara Dyar, HAS
• Alisha Dye
• Christine Dye
• Kaitlyn Dye
• Lorraine Dye

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.