Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dianna Kay Heginbotham, LPC-CANDIDATE

Individual provider Mental Health Counselor · NPI 1710688825

Dianna Kay Heginbotham, LPC-CANDIDATE is a Mental Health Counselor in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

5840 S Memorial Dr Ste 111
Tulsa, OK 74145-9006
Phone: (918) 488-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OK)
Mental Health Counselor Taxonomy 101YM0800X · Licence 11340 (OK)

Record details

NPI number1710688825
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-CANDIDATE
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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