Individual provider Active NPI

Steve Calico

  • Marriage & Family Therapist
  • Tulsa, OK
National Provider Identifier
1124161245
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
004629-027537 Issued in TX
Practice address
4720 S Harvard Ave Ste 207
Tulsa, OK 74135-3071
Phone
(918) 748-9868
Fax
(918) 748-9835
NPI assigned
Feb 15, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1344 OK
Marriage & Family Therapist 106H00000X 004629-027537 TX Primary

Addresses

Primary practice location

4720 S Harvard Ave Ste 207
Tulsa, OK 74135-3071

Mailing address

712 N Kalanchoe Ave
Broken Arrow, OK 74012-2273
Phone (918) 748-9868

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240208002689 OK Practitioner - Mental Health Counselor 7416390208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1021 E Bryan Ave
Sapulpa, OK 74066-4512
Phone (918) 227-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004629-027537TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jan 1, 2024 Accepting new patients
Omni Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
St. John Physicians, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1021 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 227-1000

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

4720 S Harvard Ave
Ste 207
Tulsa, OK 74135
Phone (918) 748-9868

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124161245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N KALANCHOE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122273",
            "telephone_number": "918-748-9868",
            "fax_number": "918-748-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S HARVARD AVE STE 207",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353071",
            "telephone_number": "918-748-9868",
            "fax_number": "918-748-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICO",
        "first_name": "STEVE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1344",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "004629-027537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.