Provider Demographics
NPI:1811199797
Name:PIPKIN, LAURI ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:ANN
Last Name:PIPKIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURI
Other - Middle Name:ANN
Other - Last Name:MCINTYRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 SW 167TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-6707
Mailing Address - Country:US
Mailing Address - Phone:775-224-2817
Mailing Address - Fax:
Practice Address - Street 1:4600 KIETZKE LN STE H182
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-5042
Practice Address - Country:US
Practice Address - Phone:775-622-8890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00058033101Y00000X
OK12097101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA10130992550OtherBEHAVIORAL HEALTH NPI