Active NPI
Ryan Austin
- Counselor
- Wynnewood, OK
National Provider Identifier
1073963740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 202 S Washita Ave
Wynnewood, OK 73098-7820 - Phone
- (405) 665-4385
- NPI assigned
- Jun 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
202 S Washita Ave
Wynnewood, OK 73098-7820
Mailing address
3179 W Devils Den Rd
Tishomingo, OK 73460
Phone (580) 222-9002
Other practice location 1
301 W Main St Ste 103
Ardmore, OK 73401-6324
Phone (580) 222-9002
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingston, OK
- NPI 1912269465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1073963740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3179 W DEVILS DEN RD",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "73460",
"telephone_number": "580-222-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S WASHITA AVE",
"city": "WYNNEWOOD",
"state": "OK",
"postal_code": "730987820",
"telephone_number": "405-665-4385"
}
],
"practiceLocations": [
{
"address_1": "301 W Main St Ste 103",
"address_purpose": "LOCATION",
"city": "Ardmore",
"state": "OK",
"postal_code": "734016324",
"country_code": "US",
"telephone_number": "580-222-9002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.