REBECCA VAN DER HAGEN (NPI# 1023561776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023561776 |
| Entity Type | Individual |
| Full Name | REBECCA VAN DER HAGEN |
| Practice Address |
201 W 5th St Ste 505 Tulsa OK 74103-4277 |
| Mailing Address |
29609 E 36th St S Broken Arrow OK 74014-8310 |
| Practice Telephone | 9182555055 |
| Mailing Telephone | 9183461626 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
236929 | OK | Behavioral Health & Social Service Providers |
| Street Address |
201 W 5TH ST STE 505 |
| City | TULSA |
| State | OK |
| Zip Code | 74103-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396181343 | Amanda May Kleeman | Counselor | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2013-05-17 |
| 1043832678 | Natalee Katherine Lynn Dupuy | Counselor | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2020-05-18 |
| 1891331450 | Neda Ghaeli | Student in an Organized Health Care Education/Training Program | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2019-11-19 |
| 1700437712 | Jessica Beth Branston | Counselor | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2019-09-23 |
| 1912565631 | Laura Grace Grafham Knapp | Counselor | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2019-05-29 |
| 1124559547 | Lenna Coffman | Counselor | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
| 1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
| 1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
| 1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
| 1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
| 1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
| 1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
| 1245651264 | Shannon Adcock | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2013-12-17 |
| 1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
| 1619116431 | Patricia Eilzabeth Cox | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2009-02-18 |
| Find all providers in zip 74103 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295106375 | Daisha Norton | Counselor | 1004 W Reading Pl, Tulsa, OK 74127-2700 | 2015-10-14 |
| 1255760476 | Kellie Schulze | Counselor | 1217 S Urbana Ave, Tulsa, OK 74112-5227 | 2013-11-07 |
| 1942483466 | Bridget Anne Brock | Counselor | 2601 E 5th Pl, Tulsa, OK 74104-2905 | 2007-12-06 |
| 1326240896 | Barbara Etheredge | Counselor | 7010 S. Yale Ave Ste 215, Tulsa, OK 74136 | 2007-06-05 |
| 1083138663 | Caitlin Browning | Counselor | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2017-07-26 |
| 1225426208 | Carla Muldrow | Counselor | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2014-12-29 |
| 1225450182 | Andrea Miller Lister | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-01-13 |
| 1467786111 | Calvianni Hopewell | Counselor | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2009-09-29 |
| 1083887681 | Courtney Jean Dixon | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2008-04-04 |
| 1437351897 | Cory John Simas | Counselor | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2007-06-05 |
| 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.