Individual provider Active NPI

Courtney Renee Rogers-McInturff, LCSW, LADC

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1962733824
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3591 Issued in OK
Practice address
3000 United Founders Blvd Ste 142
Oklahoma City, OK 73112-4342
Phone
(405) 771-0987
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3591 OK Primary

Addresses

Primary practice location

3000 United Founders Blvd Ste 142
Oklahoma City, OK 73112-4342

Mailing address

4800 SW 126TH St
Oklahoma City, OK 73173-3400
Phone (405) 771-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20130424000935 OK Practitioner - Clinical Social Worker 7113163858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

3000 United Founders Blvd
Suite 142
Oklahoma City, OK 73112-4342
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3591COMDClinical Psychologist
793OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 24, 2022 Accepting new patients

Locations

3000 United Founders Blvd
Ste 142
Oklahoma City, OK 73112
Phone (405) 347-7772

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1962733824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SW 126TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731733400",
            "telephone_number": "405-771-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 142",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124342",
            "telephone_number": "405-771-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS-MCINTURFF",
        "first_name": "COURTNEY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.