Active NPI
Glenda Jo Mauldin, LPC, LMFT
- Marriage & Family Therapist
- Tulsa, OK
National Provider Identifier
1730296682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 392
- Practice address
- 5525 E 51St St
Suite #400
Tulsa, OK 74135-7461 - Phone
- (918) 712-0859
- Fax
- (918) 388-6456
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 388 | OK | |
| Marriage & Family Therapist | 106H00000X | 392 | OK | Primary |
Addresses
Primary practice location
5525 E 51St St
Suite #400
Tulsa, OK 74135-7461
Mailing address
510 Joe Carroll St
Tahlequah, OK 74464-6726
Phone (918) 456-7758
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
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | OK | MD | Psychologist |
| 392 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1730296682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 JOE CARROLL ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744646726",
"telephone_number": "918-456-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 E 51ST ST",
"address_2": "SUITE #400",
"city": "TULSA",
"state": "OK",
"postal_code": "741357461",
"telephone_number": "918-712-0859",
"fax_number": "918-388-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULDIN",
"first_name": "GLENDA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "388",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.