Individual provider Active NPI

Caitlin Lee Hollopeter, MA, LPC, NCC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1912578121
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10015 Issued in OK
Practice address
9717 E 42ND St Ste 201
Tulsa, OK 74146-3680
Phone
(918) 270-4100
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10015 OK Primary

Addresses

Primary practice location

9717 E 42ND St Ste 201
Tulsa, OK 74146-3680

Mailing address

21801 E 104TH St S
Broken Arrow, OK 74014-4314
Phone (918) 636-7375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10015OKMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.caitlinhollopeter@148561.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1912578121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21801 E 104TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740144314",
            "telephone_number": "918-636-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 E 42ND ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463680",
            "telephone_number": "918-270-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOPETER",
        "first_name": "CAITLIN",
        "middle_name": "LEE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2021; 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.