Individual provider Active NPI

Mary Cathrine Land-Morrel

  • Marriage & Family Therapist
  • Broken Arrow, OK
National Provider Identifier
1396077459
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1072 Issued in OK
Practice address
3631 S Elm PL Ste 804
Broken Arrow, OK 74011-1859
Phone
(918) 486-9255
NPI assigned
Jan 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1072 OK Primary

Addresses

Primary practice location

3631 S Elm PL Ste 804
Broken Arrow, OK 74011-1859

Mailing address

3631 S Elm PL Ste 804
Broken Arrow, OK 74011-1859
Phone (918) 486-9255

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

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.marylandmorrel@148561.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1396077459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 S ELM PL STE 804",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111859",
            "telephone_number": "918-486-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S ELM PL STE 804",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111859",
            "telephone_number": "918-486-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND-MORREL",
        "first_name": "MARY",
        "middle_name": "CATHRINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-31",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.