Nicole Monee Sommersville

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10129 Issued in OK

Practice address

7521 S Olympia Ave
# 1032
Tulsa, OK 74132-1855

Phone

(918) 816-8863

NPI assigned

Aug 16, 2021

Last updated

Feb 14, 2022By 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 3

Addresses

Other names 1

• Nicole Monee Gittens Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Marriage and Family Therapist

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medtrans Behavioral Nevada Casal PLLCGroup PAC ID 7810259165, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Medtrans Behavioral Nevada Casal, PLLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1245781160
  Medicare reassignment Care Compare group NPD
• Obsidian Therapy Limited Liability Company

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1780508192
  Authorized official Same address or phone
• Medtrans Behavioral Nevada Casal, PLLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1376407445
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1548935067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 S OLYMPIA AVE # 1032",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321855",
            "telephone_number": "918-816-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 S OLYMPIA AVE",
            "address_2": "# 1032",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321855",
            "telephone_number": "918-816-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERSVILLE",
        "first_name": "NICOLE",
        "middle_name": "MONEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002101",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3906",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "10129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://obsidiantherapyandsupervision.theraplatform.com/",
            "affiliation": "Y",
            "endpointDescription": "HIPPA Compliant Provider/Client portal",
            "affiliationName": "Theraplatform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "7521 S Olympia Ave",
            "address_2": "# 1032",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741321855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GITTENS",
            "middle_name": "MONEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edgar Daniel Solorio, NP
• Solstice Living Solutions, Inc.
• Mousumi Som, DO
• Francis L Sommer
• Kristen Sommer, R.D.
• Kelli Jane Sondag, M.A.
• Tanakorn Songrug, MD
• Robert C Sonnenschein, M.D.
• Natalie Michele Sontag
• Alka G Sood, MD

• Marriage & Family Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.