MR. MARK STACY JR. (NPI# 1518412030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518412030 |
Entity Type | Individual |
Full Name | MR. MARK STACY JR. |
Practice Address |
2448 E 81st St Tulsa OK 74137-4250 |
Mailing Address |
2601 W 64th Pl Tulsa OK 74132-1395 |
Practice Telephone | 9184605925 |
Mailing Telephone | 9188996336 |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-08-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922322486 | Mark Allen Stacy | Anesthesiology | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2010-03-26 |
1205910171 | Mark Stacy | Psychiatry & Neurology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2006-10-25 |
Street Address |
2448 E 81ST ST |
City | TULSA |
State | OK |
Zip Code | 74137-4250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578568275 | James Bishop Lockhart Jr. | Specialist | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 | 2005-06-17 |
1922531995 | Osu Center for Health Sciences | Clinic/Center | 2448 E 81st St, Suite 1350, Tulsa, OK 74137-4250 | 2017-04-06 |
1942749080 | Ear, Nose, & Throat, Inc. | Otolaryngology | 2448 E 81st St, Suite 1350, Tulsa, OK 74137-4250 | 2017-02-22 |
1902349384 | Premier Orthopedic Specialists of Tulsa | Orthopaedic Surgery | 2448 E 81st St, Suite 1520, Tulsa, OK 74137-4250 | 2016-12-02 |
1538570981 | Osu Center for Health Sciences | Clinic/Center | 2448 E 81st St, Suite 1350, Tulsa, OK 74137-4250 | 2014-05-19 |
1770829194 | Paula T Lee | Rehabilitation Counselor | 2448 E 81st St, Suite 5125, Tulsa, OK 74137-4250 | 2012-12-13 |
1245575257 | Dawn Jeneane Holmes | Rehabilitation Counselor | 2448 E 81st St, Suite 5125, Tulsa, OK 74137-4250 | 2012-12-02 |
1275808867 | Breast Health Specialists of Oklahoma Pllc | Surgery | 2448 E 81st St, Suite 1500, Tulsa, OK 74137-4250 | 2012-03-14 |
1891069910 | Ld Taylor & Associates, Inc. | Counselor | 2448 E 81st St, Suite 4824, Tulsa, OK 74137-4250 | 2012-03-07 |
1144592635 | Lela Latrese Sanders | Rehabilitation Practitioner | 2448 E 81st St, Suite 4824, Tulsa, OK 74137-4250 | 2012-01-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.