Individual provider Active NPI

Nicole Mark, LMFT, MA

  • Marriage & Family Therapist
  • Tulsa, OK
National Provider Identifier
1558731000
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT01234 Issued in OK
Practice address
7320 S Yale Ave Ste B
Tulsa, OK 74136-7034
Phone
(918) 992-2335
NPI assigned
Sep 28, 2015
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X LMFT01234 OK Primary

Addresses

Primary practice location

7320 S Yale Ave Ste B
Tulsa, OK 74136-7034

Mailing address

2548 E Kenosha St
Broken Arrow, OK 74014-6712
Phone (918) 810-3449

Other practice location 1

2548 E Kenosha St
Broken Arrow, OK 74014-6712
Phone (918) 337-8080

Other names 1

  • Nicole Dawn Webb Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241106003512 OK Practitioner - Marriage and Family Therapist 1153855689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7127 S Olympia Ave
Xpress Wellness Urgent Care
Tulsa, OK 74132-1856
Phone (918) 665-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Oct 25, 2024 Accepting new patients
Tulsa Emh1 LLC Mental Health CurrentSince Aug 18, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 25, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

503 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 286-6331

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

7320 S Yale Ave
Ste B
Tulsa, OK 74136
Phone (918) 922-2335

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1558731000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146712",
            "telephone_number": "918-810-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367034",
            "telephone_number": "918-992-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2548 E Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740146712",
            "country_code": "US",
            "telephone_number": "918-337-8080",
            "fax_number": "918-337-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "NICOLE",
        "credential": "LMFT, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "LMFT01234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WEBB",
            "middle_name": "DAWN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.