Active NPI
Regina Underwood, LPC, RPT
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1982993101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5521
- Practice address
- 6202 S Lewis Ave Ste a
Tulsa, OK 74136-1064 - Phone
- (918) 949-4515
- Fax
- (918) 949-4515
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5521 | OK | Primary |
Addresses
Primary practice location
6202 S Lewis Ave Ste a
Tulsa, OK 74136-1064
Mailing address
8637 South 73Rd East Avenue
Tulsa, OK 74133
Other practice location 1
8637 South 73rd East Avenue
Tulsa, OK 74133
Phone (918) 282-2931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200388740B | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5521 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Penny Psychological Center, PLLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Tulsa, OK
- NPI 1578800520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982993101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8637 SOUTH 73RD EAST AVENUE",
"city": "TULSA",
"state": "OK",
"postal_code": "74133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 S LEWIS AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741361064",
"telephone_number": "918-949-4515",
"fax_number": "918-949-4515"
}
],
"practiceLocations": [
{
"address_1": "8637 South 73rd East Avenue",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74133",
"country_code": "US",
"telephone_number": "918-282-2931",
"fax_number": "918-806-8026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "REGINA",
"credential": "LPC, RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200388740B",
"state": "OK"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.