MRS. DEBRA S. RUPP MSED LADC UNDERSUP NPI 1023390002

NPI Information

  • NPI: 1023390002
  • Provider Name: MRS. DEBRA S. RUPP, MSED, LADC UNDERSUP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2442 MOHAWK BLVD
    TULSA, OK
    ZIP 74110
  • Phone: (918) 430-0975

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NPI Details

MRS. Debra S. Rupp, MSED, LADC UNDERSUP is an addiction (substance use disorder) counselor in Tulsa, OK. MRS. Debra S. Rupp, MSED, LADC UNDERSUP NPI is 1023390002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2442 MOHAWK BLVD
TULSA, OK
ZIP 74110-519
Phone: (918) 430-0975
Fax: (918) 430-0995

The enumeration date for this NPI number is 9/15/2011 and was last updated on 9/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YA0400XCounselorAddiction (Substance Use Disorder)LPC5017OKLAHOMANo
3101YA0400XCounselorAddiction (Substance Use Disorder)LADC1001OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11104049733MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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