Organization Active NPI

Leader Professional Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulsa, OK
National Provider Identifier
1861877441
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LEADER PROFESSIONAL SERVICES LLC
Practice address
4500 S Garnett Rd Ste 908
Tulsa, OK 74146-5214
Phone
(918) 829-4374
Fax
(918) 602-1207
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Christene Raenea Scott, MS, LPC-S, RPT-SNPI 1598966582
Title
Owner/Counselor
Phone
(918) 808-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5204 OK
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4500 S Garnett Rd Ste 908
Tulsa, OK 74146-5214

Mailing address

4500 S Garnett Rd Ste 908
Tulsa, OK 74146-5214
Phone (918) 808-8309

Other identifiers 1

IdentifierTypeStateIssuer
1598966582OtherOKINDIVIDUAL NPI

Other names 1

  • Leader Professional Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4500 S Garnett Rd
Ste 908
Tulsa, OK 74146
Phone (918) 829-4374

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1861877441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 908",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465214",
            "telephone_number": "918-808-8309",
            "fax_number": "918-602-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 908",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465214",
            "telephone_number": "918-829-4374",
            "fax_number": "918-602-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADER PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHRISTENE",
        "authorized_official_middle_name": "RAENEA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "918-808-8309",
        "authorized_official_credential": "MS, LPC-S, RPT-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5204",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598966582",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leader Professional Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 7, 2022; 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.