Individual provider Active NPI

David Crockett, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1871003905
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13379 Issued in OK
Practice address
6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019
Phone
(405) 378-2727
NPI assigned
Oct 3, 2017
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X C9171 OR
Professional Counselor 101YP2500X 13379 OK Primary

Addresses

Primary practice location

6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019

Mailing address

6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019
Phone (405) 378-2727

Other names 1

  • David E Lapham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104002239 OR Practitioner - Mental Health Counselor 5496245912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LinnGroup PAC ID 7911984638, 25 clinicians

Practice addresses (Care Compare)

2730 Pacific Blvd SE
Linn County Mental Health Services
Albany, OR 97321-5075
Phone (541) 967-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9171ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Linn CurrentSince Aug 22, 2025 Accepting new patients
County of Linn CurrentSince Aug 22, 2025 Accepting new patients
Balance Women's Health, LLC CurrentSince Sep 20, 2026 Accepting new patients
County of Linn Past Accepting new patients

Locations

6400 S Lewis Ave
Ste 100
Tulsa, OK 74136
Phone (918) 270-4100

2730 Pacific Blvd SE
Albany, OR 97321

445 3rd Ave SW
#H
Albany, OR 97321

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1871003905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 S LEWIS AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361019",
            "telephone_number": "405-378-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 S LEWIS AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361019",
            "telephone_number": "405-378-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9171",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "13379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "LAPHAM",
            "middle_name": "E",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.