Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104123405 Individual Practitioner Female Practitioner

Amanda Etheridge

Community/Behavioral Health • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Amanda Etheridge is a registered healthcare professional specializing in Community/Behavioral Health in Tulsa, OK. Practice services are available at 6202 S LEWIS AVE STE J under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6202 S Lewis Ave Ste J

Tulsa, OK 741361064

Telephone 9183927988

Specialty Benchmarks & Practice Insights

Comparative analytics for Community/Behavioral Health in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Tulsa, OK (146 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-27
Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Julie Skidmore

Counselor - Professional

NPI 1083564926
Amanda Linihan

Counselor - Professional

NPI 1154669042
Susan Davis , LCSW

Social Worker - Clinical

NPI 1306032560

Licensed Clinical Social Worker

NPI 1396273470
Dawn Brandenburgh , LPC

Counselor - Mental Health

NPI 1538209358

Licensed Professional Counselor

Adam Muly

Counselor - Professional

NPI 1598616369

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 27, 2021

Registered at 6202 S LEWIS AVE STE J, TULSA, OK 741361064 (Tel: 9183927988)

📍
Updated Business Mailing Address August 27, 2021

Registered at 6202 S LEWIS AVE STE J, TULSA, OK 741361064 (Tel: 9183927988)

👤
Provider Name / Credentials Updated August 27, 2021

Recorded as AMANDA ETHERIDGE

NPI Profile Active February 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2011

Registered at 4300 S HARVARD AVE, TULSA, OK 741352619 (Tel: 9185853163)

📍
Updated Business Mailing Address February 22, 2011

Registered at 3803 S DELAWARE AVE, TULSA, OK 741053719 (Tel: 9185490757)

👤
Provider Name / Credentials Updated February 22, 2011

Recorded as AMANDA WULF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2011

Community/Behavioral Health

🟢
Initial NPI Registration & Enumeration February 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104123405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2011
Last Update: August 27, 2021
Sole Proprietor: Yes

Mailing Address

6202 S Lewis Ave Ste J

Tulsa, OK 741361064

Phone: 9183927988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.