Individual provider Active NPI

Melanie Lock Smith, MS LBP

  • Professional Counselor
  • Chickasha, OK
National Provider Identifier
1073711990
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
168 Issued in OK
Practice address
198 E Almar
Chickasha, OK 73018
Phone
(405) 222-5437
Fax
(405) 222-5441
NPI assigned
Jul 3, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 168 OK Primary

Addresses

Primary practice location

198 E Almar
Chickasha, OK 73018

Mailing address

198 E Almar
Chickasha, OK 73018
Phone (405) 222-5437

Other identifiers 1

IdentifierTypeStateIssuer
3MLS60OtherOKICIS

Other names 1

  • Melanie Denise Lock Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250131003585 OK Practitioner - Mental Health Counselor 1759810989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

1314 N Harville Rd
Duncan, OK 73533-1514

1315 N Whisenant Dr
Duncan, OK 73533-2684
Phone (580) 251-6806

1315 N Whisenant Dr
Suite 100
Duncan, OK 73533-2682
Phone (580) 251-6806

1315 N Whisenant Dr
Suite 200
Duncan, OK 73533-2683
Phone (580) 251-6806

2220 W Elk Ave
Suite 2
Duncan, OK 73533-2656
Phone (580) 251-6822

2220 W Elk Ave
Suite 6
Duncan, OK 73533-2655
Phone (580) 251-6822

2502 W Elk Ave
Suite 100
Duncan, OK 73533-1562
Phone (580) 252-9600

2635 W Elk Ave
Duncan, OK 73533-1572
Phone (580) 252-6080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
168OKMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Regional Hospital, Inc CurrentSince Dec 15, 2024 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Dec 15, 2024 Accepting new patients

Locations

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1073711990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 E ALMAR",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "73018",
            "telephone_number": "405-222-5437",
            "fax_number": "405-222-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E ALMAR",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "73018",
            "telephone_number": "405-222-5437",
            "fax_number": "405-222-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELANIE",
        "middle_name": "LOCK",
        "name_prefix": "Mrs.",
        "credential": "MS LBP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-12-04",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICIS",
            "identifier": "3MLS60",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "LOCK",
            "middle_name": "DENISE",
            "credential": "MS LBP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.