GUSTAVA EDWARDS (NPI# 1780079418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780079418 |
| Entity Type | Individual |
| Full Name | GUSTAVA EDWARDS |
| Practice Address |
2001 S Garnett Rd Tulsa OK 74128-1836 |
| Practice Telephone | 9188787877 |
| Practice Fax Number | 9188787882 |
| Mailing Telephone | 9188787877 |
| Mailing Fax Number | 9188787882 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2001 S GARNETT RD |
| City | TULSA |
| State | OK |
| Zip Code | 74128-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265867824 | Blakelea D. Martin | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2013-09-13 |
| 1801252655 | Ember Alexander | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2016-01-09 |
| 1265807978 | Marsha Porter | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-12-07 |
| 1154793701 | Robert Givens | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-10-22 |
| 1841660784 | Belinda Short | Counselor | 2001 S Garnett Rd, Tulsa, OK 74128-1836 | 2015-10-05 |
| 1437529823 | Tasia Akem | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-09-29 |
| 1093181299 | Elsa Silva De Jackson | Case Manager/Care Coordinator | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-08-11 |
| 1942682273 | Keymah Muhammad | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-06-23 |
| 1235511825 | Patty Dainty | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-06-19 |
| 1851772123 | Keita Owens | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2015-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| 1548700826 | Kristina Marcotte | Case Management | 9756 E 4th Pl, Tulsa, OK 74128-1247 | 2017-03-06 |
| Find all providers in zip 74128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1053932905 | Suzanne Schneider | Counselor | 1507 E 21st St, Tulsa, OK 74114-1339 | 2020-05-01 |
| 1396371167 | Amy Lynn Herrold | Counselor | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-03-12 |
| 1033758453 | Anew Dawn Counseling Services LLC | Counselor | 2227 S Garnett Rd Ste 106, Tulsa, OK 74129-5115 | 2020-01-02 |
| 1679111231 | Shandeisha N Hay | Counselor | 6131 S Yorktown Ave Apt 1, Tulsa, OK 74136-0936 | 2019-12-13 |
| 1699320119 | Grace Oluloto | Counselor | 2740 E 41st St N, Tulsa, OK 74110-1432 | 2019-08-02 |
| 1467005900 | Courtney Gillespie | Counselor | 8810 S Yale Ave Ste K, Tulsa, OK 74137-3551 | 2019-07-23 |
| 1922660661 | Katherine Marie Nash | Counselor | 5072 S Toledo Ave Apt 23c, Tulsa, OK 74135-3350 | 2019-07-02 |
| 1205493590 | Wright Choice Counseling Services, LLC | Counselor | 6130 E 32nd St Ste 106, Tulsa, OK 74135-5454 | 2019-05-22 |
| Find all providers in TULSA | ||||
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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.