Individual provider Active NPI

Alicia Marie Folmar, LMFT

  • Marriage & Family Therapist
  • McLoud, OK
National Provider Identifier
1770073389
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10574 Issued in OK
Practice address
12617 S McLoud Rd
McLoud, OK 74851-8509
Phone
(405) 441-7558
NPI assigned
May 18, 2018
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10574 OK Primary

Addresses

Primary practice location

12617 S McLoud Rd
McLoud, OK 74851-8509

Mailing address

11589 Carefree LN
Shawnee, OK 74804-7003
Phone (405) 226-7688

Other names 1

  • Alicia Marie Jarvis 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
I20240909000563 OK Practitioner - Marriage and Family Therapist 8426598269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Aug 26, 2024 Accepting new patients
Optum Behavioral Care of Virginia, Inc. Past Accepting new patients
Advanced Therapy Associates, LLC PastSince Feb 1, 2017 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

Organizations & group practices 3

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1770073389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11589 CAREFREE LN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748047003",
            "telephone_number": "405-226-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 S MCLOUD RD",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518509",
            "telephone_number": "405-441-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLMAR",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "JARVIS",
            "middle_name": "MARIE",
            "credential": "LMFT-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McLoud, OK

Sources for this page

Verify at the official NPI Registry.