Individual provider Active NPI

Marissa Stuart, MA, LPC

  • Counselor
  • Tulsa, OK
National Provider Identifier
1174243240
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11672 Issued in OK
Practice address
2417 E 53Rd St Ste 101B
Tulsa, OK 74105-6600
Phone
(918) 308-9604
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11672 OK Primary

Addresses

Primary practice location

2417 E 53Rd St Ste 101B
Tulsa, OK 74105-6600

Mailing address

4660 W 168TH St N
Skiatook, OK 74070-4753
Phone (918) 697-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11672OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aletheuo Counseling LLC CurrentSince Sep 14, 2025 Accepting new patients
Tulsa Emh1 LLC Past Accepting new patients
Integrity Pathways Inc PastSince Sep 1, 2022 Accepting new patients

Locations

2417 E 53rd St
Ste 101B
Tulsa, OK 74105
Phone (918) 308-9604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1174243240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 W 168TH ST N",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740704753",
            "telephone_number": "918-697-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 E 53RD ST STE 101B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056600",
            "telephone_number": "918-308-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "MARISSA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "11672",
            "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 Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.