Active NPI
Marie Rose Calico, LPC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1992764633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1270
- Practice address
- 6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326 - Phone
- (918) 481-4000
- Fax
- (918) 491-5740
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1270 | OK | Primary |
Addresses
Primary practice location
6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326
Mailing address
6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326
Phone (918) 481-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017877 | Other | CIGNA BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992764633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 S YALE AVE",
"address_2": "LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL",
"city": "TULSA",
"state": "OK",
"postal_code": "741363326",
"telephone_number": "918-481-4000",
"fax_number": "918-491-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 S YALE AVE",
"address_2": "LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL",
"city": "TULSA",
"state": "OK",
"postal_code": "741363326",
"telephone_number": "918-481-4000",
"fax_number": "918-491-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALICO",
"first_name": "MARIE",
"middle_name": "ROSE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2017877",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.