Provider Demographics
NPI:1245530781
Name:JAMES, JOSEPH E-K (PSYD, LPC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E-K
Last Name:JAMES
Suffix:
Gender:M
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:E-K
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3144 S WINSTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2012
Mailing Address - Country:US
Mailing Address - Phone:918-878-8072
Mailing Address - Fax:
Practice Address - Street 1:3144 S WINSTON AVE STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2012
Practice Address - Country:US
Practice Address - Phone:417-869-9011
Practice Address - Fax:417-889-6307
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4857101Y00000X
OK1225103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO503743502Medicaid
MO1164517937OtherNPI
OK200460890BMedicaid