Active NPI
Gary Raymond Rhodes Jr., MA, MS, MMFT, DMIN
- Marriage & Family Therapist
- Tulsa, OK
National Provider Identifier
1003507609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 205062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCCANDIDATE11237 | OK | MD | Professional Counselor |
| LCM970 | MD | MD | Marriage & Family Therapist |
| 11458 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.