Mark Cody Banta, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

04525 Issued in OK

Practice address

105365 S.Hwy 102
McLoud, OK 74851

Phone

(405) 988-2618

NPI assigned

May 1, 2007

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

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

Enrolled in OK

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013138965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43925 HUNTERS HILL DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748018927",
            "telephone_number": "405-988-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105365 S.HWY 102",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "74851",
            "telephone_number": "405-988-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTA",
        "first_name": "MARK",
        "middle_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "04525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gayle Allen, MS, LPC-S
• Masumah A Amil
• Sara Arnold, LCSW
• Jeremy McCandor Arrisontz, LMSW
• Melissa Dawn Barnes, APRN
• Sarah Elizabeth Becker
• Amy Bowen
• Rhonda Jo Bowen, LADC LBP
• Jeniece Ann Bridgforth, LPC- CANDIDATE

• Mental Health Counselor in McLoud, OK
• Providers in McLoud, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.