Organization Active NPI

Positive Aging Counseling and Consulting, LLC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1992210595
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6055 Issued in OK
Legal business name
POSITIVE AGING COUNSELING AND CONSULTING, LLC
Practice address
3010 S Harvard Ave
Tulsa, OK 74114-6124
Phone
(918) 694-5787
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Rachel Deaton
Title
Licensed Clinical Social Worker
Phone
(918) 694-5787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6055 OK Primary

Addresses

Primary practice location

3010 S Harvard Ave
Tulsa, OK 74114-6124

Mailing address

2220 S Indianapolis Ave
Tulsa, OK 74114-1921
Phone (918) 694-5787

National Provider Directory

National Provider Directory

Locations

3010 S Harvard Ave
Tulsa, OK 74114
Phone (918) 694-5787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1992210595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 S INDIANAPOLIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141921",
            "telephone_number": "918-694-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146124",
            "telephone_number": "918-694-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE AGING COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "918-694-5787"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6055",
            "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 Dec 5, 2017; 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.