Individual provider Active NPI

Gary Raymond Rhodes Jr., MA, MS, MMFT, DMIN

  • Marriage & Family Therapist
  • Tulsa, OK
National Provider Identifier
1003507609
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205062 Issued in TX
Practice address
1728 S Carson Ave
Tulsa, OK 74119-4610
Phone
(918) 406-3420
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCCANDIDATE11237 OK
Marriage & Family Therapist 106H00000X 11458 OK
Marriage & Family Therapist 106H00000X LCM970 MD
Marriage & Family Therapist 106H00000X 205062 TX Primary

Addresses

Primary practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Mailing address

7107 S Yale Ave # 264
Tulsa, OK 74136-6308
Phone (260) 577-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240806001150 TX Practitioner - Marriage and Family Therapist 9830636018 Reassigns benefits to 1 organization
I20240815000835 DC Practitioner - Marriage and Family Therapist 9830636018 Reassigns benefits to 1 organization
I20251203001120 FL Practitioner - Marriage and Family Therapist 9830636018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
LPCCANDIDATE11237OKMDProfessional Counselor
LCM970MDMDMarriage & Family Therapist
11458OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince May 25, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Networks

  • AL HMO D-SNP
  • FL HMO D-SNP
  • FL HMO C-SNP
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • FL HMO
  • TX HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • TX HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • AL HMO
  • NM HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1003507609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 S YALE AVE # 264",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366308",
            "telephone_number": "260-577-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S CARSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194610",
            "telephone_number": "918-406-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "GARY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MA, MS, MMFT, DMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-03-07",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPCCANDIDATE11237",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "11458",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM970",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.