Individual provider Active NPI

Mari Varga Overlock, PH. D.

  • Mental Health Counselor
  • Texarkana, TX
National Provider Identifier
1861049520
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
38298 Issued in TX
Practice address
4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone
(903) 794-0011
Fax
(903) 838-8879
NPI assigned
Aug 19, 2019
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 38298 TX Primary

Addresses

Primary practice location

4100 Summerhill Rd
Texarkana, TX 75503-2732

Mailing address

4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone (903) 794-0011

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: Yes
  • 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38298TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services of Texarkana PLLC Mental Health Current Accepting new patients
Rafael F Otero, PHD, Inc PastSince Aug 25, 2019 Accepting new patients

Locations

4100 Summerhill Rd
Texarkana, TX 75503
Phone (903) 277-1676

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1861049520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-794-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-794-0011",
            "fax_number": "903-838-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLOCK",
        "first_name": "MARI",
        "middle_name": "VARGA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "38298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.