Mary Autumn Bliss Yasseri, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12687 Issued in OK

Practice address

6655 S Yale Ave
Tulsa, OK 74136-3326

Phone

(918) 481-4000

NPI assigned

Sep 14, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1831000397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 E 66TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741362820",
            "telephone_number": "901-493-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363326",
            "telephone_number": "918-481-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSERI",
        "first_name": "MARY AUTUMN",
        "middle_name": "BLISS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "12687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Yarnall, MD
• Alyssa Dawn Yarnell
• Destanie Brooke Yarnell, DO
• Tamara Dawn Yarnell
• Nabil Amin Yassa, MD
• Heather Leah Yates, APRN-FNP
• Melissa Yates
• Michael Yates
• Mirla Yates
• Ashley Yauneridge, LPN

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.