Individual provider Active NPI

Mathew Martin Samargis

  • Counselor
  • Stilwell, OK
National Provider Identifier
1386947083
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC07654 Issued in OK
Practice address
RR 3 Box 1586
Stilwell, OK 74960-9563
Phone
(918) 575-2994
NPI assigned
Dec 19, 2010
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 LPC07654 OK Primary

Addresses

Primary practice location

RR 3 Box 1586
Stilwell, OK 74960-9563

Mailing address

469810 E 761 Rd
Stilwell, OK 74960-3321
Phone (918) 575-2994

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

State licenses

LicenseStateTypeSpecialty
LPC07654OKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1386947083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469810 E 761 RD",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603321",
            "telephone_number": "918-575-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 1586",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609563",
            "telephone_number": "918-575-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARGIS",
        "first_name": "MATHEW",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-19",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPC07654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.