MR. GREGORY MICHAEL SUTMILLER LPC LADC NPI 1467690172

NPI Information

  • NPI: 1467690172
  • Provider Name: MR. GREGORY MICHAEL SUTMILLER, LPC, LADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2017 S ELM PL STE 104
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 379-4431

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NPI Details

MR. Gregory Michael Sutmiller, LPC, LADC is a mental health counselor in Broken Arrow, OK. MR. Gregory Michael Sutmiller, LPC, LADC NPI is 1467690172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2017 S ELM PL STE 104
BROKEN ARROW, OK
ZIP 74012-034
Phone: (918) 379-4431
Fax: (918) 328-2380

The NPI 1467690172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 11/8/2025.

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)915OKLAHOMANo
2101YM0800XCounselorMental Health4910OKLAHOMAYes

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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