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LISA STAIRES POTTORF M.ED., LPC
NPI 1205031002
Counselor - Mental Health in Tulsa, OK

Active since June 20, 2007
4528 S SHERIDAN RD STE 117, TULSA, OK 74145(918) 794-6570(918) 340-5189 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Staires Pottorf M.ed., Lpc NPPES

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

LISA STAIRES POTTORF M.ED., LPC (NPI 1205031002) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (2224) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1205031002
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA STAIRES POTTORFCredential: M.ED., LPC
Location Address4528 S SHERIDAN RD STE 117Tulsa, OK 74145-1101
Mailing Address4525 S. Irvington Ave.Tulsa, OK 74135 · (918) 832-7764 · Fax (918) 832-7765
Phone(918) 794-6570
Fax(918) 340-5189
Sole ProprietorYes
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 3, 2012
✔ NPI 1205031002 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 · 2224
4528 S SHERIDAN RD STE 117, Tulsa, OK 74145
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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 Lisa Pottorf's NPI number?

The NPI number for Lisa Pottorf is 1205031002. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Lisa Pottorf located?

Lisa Pottorf practices at 4528 S Sheridan Rd Ste 117, Tulsa, OK 74145. The listed phone number is (918) 794-6570.

What is Lisa Pottorf'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 Lisa Pottorf was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.