NPIMap

Organization Active NPI

The Griffin Promise

  • Mental Health Counselor
  • Broken Arrow, OK
National Provider Identifier
1881108975
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1239 Issued in OK
Legal business name
THE GRIFFIN PROMISE
Practice address
2552 E Kenosha St
Broken Arrow, OK 74014-6712
Phone
(918) 893-3735
Fax
(918) 893-3745
NPI assigned
Nov 28, 2017
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Lori Frederick
Title
Executive Director
Phone
(918) 893-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1239 OK Primary

Addresses

Primary practice location

2552 E Kenosha St
Broken Arrow, OK 74014-6712

Mailing address

3100 S Elm PL Ste a
Broken Arrow, OK 74012-7950
Phone (918) 893-3735

National Provider Directory

National Provider Directory
Tax ID family
The Griffin Promise2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1881108975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S ELM PL STE A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127950",
            "telephone_number": "918-893-3735",
            "fax_number": "918-893-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146712",
            "telephone_number": "918-893-3735",
            "fax_number": "918-893-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRIFFIN PROMISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-893-3735"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.