Empowered Life Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5181 Issued in OK

Legal business name

EMPOWERED LIFE COUNSELING, PLLC

Practice address

5800 E Skelly Dr
Suite 105
Tulsa, OK 74135-6471

Phone

(918) 991-5538

Fax

(918) 271-5065

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Alisa Johnson, LPCNPI 1013292861

Title

Owner/Therapist

Phone

(918) 991-5538

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alisa Elizabeth Johnson

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1013292861
  NPD (past) Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1841679545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR",
            "address_2": "SUITE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356471",
            "telephone_number": "918-991-5538",
            "fax_number": "918-271-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E SKELLY DR",
            "address_2": "SUITE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356471",
            "telephone_number": "918-991-5538",
            "fax_number": "918-271-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "918-991-5538",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200431990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Empyreal Healthcare, LLC
• Thomas Bartley Enberg I

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.