KEVIN THOMAS GRESHAM
NPI 1265195382
Counselor - Mental Health in Tulsa, OK

The NPI number for Kevin Gresham is 1265195382. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

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

The NPPES record for Kevin Gresham was last updated on October 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 15, 2021

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kevin Thomas Gresham NPPES

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

KEVIN THOMAS GRESHAM (NPI 1265195382) is an individual mental health provider in Tulsa, Oklahoma and active in the NPI registry since October 2021.

NPI1265195382

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN THOMAS GRESHAM

Location Address5950 E 31ST STTulsa, OK 74135-5114

Mailing Address5950 E 31st StTulsa, OK 74135-5114 · (918) 664-9000

Sole ProprietorNo

Enumeration DateOctober 15, 2021

NPPES CertifiedOctober 15, 2021

✔ NPI 1265195382 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

5950 E 31ST ST, Tulsa, OK 74135

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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