Individual provider Active NPI

Mary Anthony Reese, LPC, CBIS

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1730522996
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2436 Issued in OK
Practice address
6931 S 66TH East Ave Ste 200
Tulsa, OK 74133-1765
Phone
(918) 379-4431
Fax
(918) 328-2380
NPI assigned
Apr 8, 2013
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 2436 OK Primary
Professional Counselor 101YP2500X 2436 OK

Addresses

Primary practice location

6931 S 66TH East Ave Ste 200
Tulsa, OK 74133-1765

Mailing address

6931 S 66TH East Ave Ste 200
Tulsa, OK 74133-1765
Phone (918) 379-4431

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
I20240415002931 OK Practitioner - Mental Health Counselor 7113366865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evolution Mental Health Services PLLCGroup PAC ID 5496106593, 6 clinicians

Practice addresses (Care Compare)

6931 S 66TH E Ave
Suite 200
Tulsa, OK 74133-1765
Phone (918) 379-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2436OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Mental Health Services PLLC Mental Health CurrentSince Mar 5, 2024 Accepting new patients

Locations

6931 S 66th East Ave
Ste 200
Tulsa, OK 74133
Phone (918) 379-4431

Organizations & group practices 1

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1730522996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 S 66TH EAST AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331765",
            "telephone_number": "918-379-4431",
            "fax_number": "918-328-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 S 66TH EAST AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331765",
            "telephone_number": "918-379-4431",
            "fax_number": "918-328-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MARY",
        "middle_name": "ANTHONY",
        "credential": "LPC, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2436",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.