Active NPI
Christa Nelson
- Professional Counselor
- Mannford, OK
National Provider Identifier
1861890501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10025
- Practice address
- 5725 S 391St West Ave
Mannford, OK 74044-6013 - Phone
- (918) 237-8019
- NPI assigned
- Dec 11, 2014
- Last updated
- Dec 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OK | ||
| Professional Counselor | 101YP2500X | 10025 | OK | Primary |
Addresses
Primary practice location
5725 S 391St West Ave
Mannford, OK 74044-6013
Mailing address
5725 S 391St West Ave
Mannford, OK 74044-6013
Phone (918) 237-8019
Other practice location 1
3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Phone (888) 882-0859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 29, 2025 through Dec 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10025 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C. Alan Bentley Counseling LLC | Professional | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Resolution Counseling and Wellness
- Professional Counselor
- Tulsa, OK
- NPI 1356943187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1861890501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5725 S 391ST WEST AVE",
"city": "MANNFORD",
"state": "OK",
"postal_code": "740446013",
"telephone_number": "918-237-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 S 391ST WEST AVE",
"city": "MANNFORD",
"state": "OK",
"postal_code": "740446013",
"telephone_number": "918-237-8019"
}
],
"practiceLocations": [
{
"address_1": "3015 E Skelly Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741056344",
"country_code": "US",
"telephone_number": "888-882-0859",
"fax_number": "918-388-9708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "10025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mannford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.