Michael Creekmore
Individual provider Active NPI Professional Counselor · Tulsa, OK
NPI 1902465636 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1902465636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11234 (OK)
- Practice address
- 6666 S Sheridan Rd Ste 230
Tulsa, OK 74133-1767 - Phone
- (918) 207-2887
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11234 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Oklahoma Council on Alcoholism, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11234 | OK | Yes |
Addresses
Primary practice location
6666 S Sheridan Rd Ste 230
Tulsa, OK 74133-1767
Mailing address
8834 S 90TH East Ave
Tulsa, OK 74133-4420
Phone (918) 207-2887
Other providers in Tulsa, OK
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Creek Nation Hospital & Clinics
- Virginia Creekmore
- Angie Cremin
- Kayla Crenshaw
- Wesley Kane Crenshaw
- Creoaks Behavioral Health Services
All providers in Tulsa, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.