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BEHAVIORAL MODIFICATION COUNSELING
NPI 1124560420
Counselor - Mental Health in Tulsa, OK

Active since November 17, 2016
4308 E 21ST PL, TULSA, OK 74114(919) 808-1000 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Behavioral Modification Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEHAVIORAL MODIFICATION COUNSELING (NPI 1124560420) is a healthcare organization registered as a mental health in Tulsa, Oklahoma and active in the NPI registry since November 2016. The organization lists Susanna Halcomb, Counselor, as its authorized official.

NPPES Registry Identity

NPI1124560420
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBEHAVIORAL MODIFICATION COUNSELING
Location Address4308 E 21ST PLTulsa, OK 74114-2114
Mailing Address4308 E 21st PlTulsa, OK 74114-2114 · (919) 808-1000
Phone(919) 808-1000
Organization SubpartNo
Authorized OfficialSusanna HalcombCounselor · (918) 808-1000
Enumeration DateNovember 17, 2016
✔ NPI 1124560420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 4203
4308 E 21ST PL, Tulsa, OK 74114
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Other Identifiers 1

Medicaid200375600AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Behavioral Modification Counseling's NPI number?

The NPI number for Behavioral Modification Counseling is 1124560420. It was assigned to this organization in the NPPES registry on November 17, 2016.

Where is Behavioral Modification Counseling located?

Behavioral Modification Counseling is located at 4308 E 21st Pl, Tulsa, OK 74114. The listed phone number is (919) 808-1000.

What is Behavioral Modification Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Behavioral Modification Counseling was last updated on November 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.