Mary L Bobo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2194 Issued in OK

Practice address

1625 Greenbriar PL
Ste 300
Oklahoma City, OK 73159-7645

Phone

(405) 692-4000

Fax

(405) 692-4001

NPI assigned

Sep 1, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mary L Bobo Inc

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1578696571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043204399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 GREENBRIAR PL",
            "address_2": "STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597645",
            "telephone_number": "405-692-4000",
            "fax_number": "405-692-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GREENBRIAR PL",
            "address_2": "STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597645",
            "telephone_number": "405-692-4000",
            "fax_number": "405-692-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Saunders Bobb, DO
• Bobby Moore DPT, PLLC (Sideout Sports Physical Therapy)
• Bobby R Jacobs MD PC
• Toni Bobek
• Delandria Bobo
• Bobs Pharmacy
• Taylor Jolie Bochnowski
• Alan Stuart Bock, M.D.
• Dana J Bock, MD
• Stacy Ann Bockelman, OTR/L

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.