Individual provider Active NPI

Maureen E Grizzle, LMFT

  • Marriage & Family Therapist
  • Tulsa, OK
National Provider Identifier
1821173824
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
990 Issued in OK
Practice address
2140 S Harvard Ave
Tulsa, OK 74114-1960
Phone
(918) 747-6377
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 990 OK Primary

Addresses

Primary practice location

2140 S Harvard Ave
Tulsa, OK 74114-1960

Mailing address

7606 S Quebec Ave
Tulsa, OK 74136-8101
Phone (918) 496-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
990OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tristesse Grief Center Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

2502 E 71st St
Tulsa, OK 74136
Phone (918) 587-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1821173824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 S QUEBEC AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368101",
            "telephone_number": "918-496-3310",
            "fax_number": "918-496-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141960",
            "telephone_number": "918-747-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.