Blong Lor, MS, LPC
Counselor, Mental Health in Tulsa, OK. Individual provider (NPI-1).
NPI number1669974481
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1669974481
- Entity type
- Individual (NPI-1)
- Name
- Blong Lor
- Credential
- MS, LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2018
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC07377 | OK | Yes |
| 101YP2500X | Counselor, Professional | LPC07377 | OK |
Practice location
6400 S Lewis Ave Ste 100Tulsa, OK 74136-1019
Phone 405-378-2727
Mailing address
6400 S Lewis Ave Ste 100Tulsa, OK 74136-1019
Phone 405-378-2727
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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