Individual provider Active NPI

Mark Alan George, LMFT

  • Marriage & Family Therapist
  • Tulsa, OK
National Provider Identifier
1881679454
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
709 Issued in OK
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

Updated by the provider on Mar 17, 2018

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 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

LicenseStateTypeSpecialty
MFT001484GAMDMarriage & 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

Verify at the official NPI Registry.