Active NPI
Amy E Southerland, LMFT
- Marriage & Family Therapist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1371
- Practice address
- 3000 United Founders Blvd Ste 139D
Oklahoma City, OK 73112-4359 - Phone
- (405) 259-6155
- NPI assigned
- Aug 24, 2017
- Last updated
- Apr 28, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | 1371 | OK | Primary |
Addresses
Primary practice location
3000 United Founders Blvd Ste 139D
Oklahoma City, OK 73112-4359
Mailing address
3000 United Founders Blvd Ste 139D
Oklahoma City, OK 73112-4359
Phone (405) 259-6155
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 |
|---|---|---|---|
| 1371 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted Oak Family Therapy, PLLC | Current | Accepting new patients | |
| Instilling Hope & Wellness LLC | Past | Accepting new patients |
Locations
12220 N MacArthur Blvd
Ste F61
Oklahoma City, OK 73162
2828 NW 57th St
Ste 119
Oklahoma City, OK 73112
3000 United Founders Blvd
Ste 139D
Oklahoma City, OK 73112
Phone (405) 259-6155
3033 NW 63rd St
Ste 160E
Oklahoma City, OK 73116
Phone (405) 259-7443
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1598429912
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1255870259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1750808325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 UNITED FOUNDERS BLVD STE 139D",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124359",
"telephone_number": "405-259-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 UNITED FOUNDERS BLVD STE 139D",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124359",
"telephone_number": "405-259-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERLAND",
"first_name": "AMY",
"middle_name": "E",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"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": "1371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- South Wind Women's Center
- John South, LPC
- Southeastern Oklahoma Family Services, Inc
- Southeastern Oklahoma Family Services, Inc
- Aaron Chase Southerland, D.D.S.
- Megan Southerland
- Southern Oklahoma Treatment Services, Inc
- Southern Oklahoma Treatment Services, Inc.
- Southern Plains Medical Center Inc (CareFirst Wellness Associates)
- Southern Smiles Dental PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.