Individual provider Active NPI

K'Lynne Michele Escott, LPC, M.S, B.S.

  • Mental Health Counselor
  • Stillwater, OK
National Provider Identifier
1083734495
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4267 Issued in OK
Practice address
2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone
(405) 377-1988
NPI assigned
Mar 30, 2007
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4267 OK Primary

Addresses

Primary practice location

2220 W 7TH Ave
Stillwater, OK 74074-4105

Mailing address

2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone (405) 377-1988

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
I20240514003404 OK Practitioner - Mental Health Counselor 3173964798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

421 E Thomas Ave
Stillwater, OK 74075-2600
Phone (405) 372-7791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4267OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services CurrentSince Apr 6, 2024 Accepting new patients
Creoks Mental Health Services CurrentSince Apr 6, 2024 Accepting new patients
Creoks Mental Health Services Current Accepting new patients

Locations

421 E Thomas Ave
Stillwater, OK 74075
Phone (405) 372-7791

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

Organizations & group practices 3

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1083734495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W 7TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744105",
            "telephone_number": "405-377-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W 7TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744105",
            "telephone_number": "405-377-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOTT",
        "first_name": "K'LYNNE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LPC, M.S, B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.