Samayra Tavakoli, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11271 Issued in OK

Practice address

2776 Washington Dr Ste 100
Norman, OK 73069-1018

Phone

(580) 530-1536

NPI assigned

Feb 9, 2016

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Mosaic Medbill LLC

  dba Mosaic Therapy

  • Adult Mental Health Clinic/Center
  • Oklahoma City, OK
  • NPI 1255623930

  Professional

  Medicare reassignment NPD
• Mosaic Health Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1164203782
  NPD (past)
• Pinky Promise Keepers PLLC

  • Mental Health Counselor
  • Midwest City, OK
  • NPI 1770164329
  NPD (past)

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1386002087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 WASHINGTON DR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691018",
            "telephone_number": "405-407-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 WASHINGTON DR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691018",
            "telephone_number": "580-530-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI",
        "first_name": "SAMAYRA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Neal Tarman, CPRSS
• Allison Tate, RBT
• Micah Tate, RBT
• Robert Z Tate Jr.
• Robbie Lyn Tatom, LCSW
• Jennifer Benaire Taylor-O'Neill, PHD, LMSW
• Leslie M Taylor-Wilson, BCABA
• Allison Ann Taylor
• Angela Beth Taylor, PT
• Ashley Nicole Taylor, DO

• Professional Counselor in Norman, OK
• Providers in Norman, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.