Active NPI
Mark Alan George, LMFT
- Marriage & Family Therapist
- Tulsa, OK
National Provider Identifier
1881679454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 709
- Practice address
- 5272 S Lewis Ave Ste 114
Tulsa, OK 74105-6563 - Phone
- (918) 219-7377
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001484 | GA | |
| Marriage & Family Therapist | 106H00000X | 709 | OK | Primary |
Addresses
Primary practice location
5272 S Lewis Ave Ste 114
Tulsa, OK 74105-6563
Mailing address
5272 S Lewis Ave Ste 114
Tulsa, OK 74105-6563
Phone (918) 219-7377
Other practice location 1
2450 Atlanta Hwy
Suite 1202
Cumming, GA 30040-8099
Phone (770) 703-0696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 24, 2026 through Jun 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001484 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881679454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5272 S LEWIS AVE STE 114",
"city": "TULSA",
"state": "OK",
"postal_code": "741056563",
"telephone_number": "918-219-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5272 S LEWIS AVE STE 114",
"city": "TULSA",
"state": "OK",
"postal_code": "741056563",
"telephone_number": "918-219-7377"
}
],
"practiceLocations": [
{
"address_1": "2450 Atlanta Hwy",
"address_2": "Suite 1202",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300408099",
"country_code": "US",
"telephone_number": "770-703-0696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001484",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.