Individual provider Active NPI

Mark Allan Henry, M.S. LPC CANDIDATE

  • Mental Health Counselor
  • Clinton, OK
National Provider Identifier
1083953699
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
600 Avant Ave
Clinton, OK 73601-3916
Phone
(580) 323-3322
Fax
(580) 323-6233
NPI assigned
Feb 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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 Primary

Addresses

Primary practice location

600 Avant Ave
Clinton, OK 73601-3916

Mailing address

600 Avant Ave
Clinton, OK 73601-3916
Phone (580) 323-3322

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
I20260108000104 OK Practitioner - Mental Health Counselor 0143716845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

502 W Randolph Ave
Enid, OK 73701-3828

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Counseling Services LLP Mental Health CurrentSince Dec 23, 2025 Accepting new patients
Multi-County Youth and Family Services, Inc PastSince May 16, 2021 Accepting new patients

Locations

502 W Randolph Ave
Enid, OK 73701
Phone (580) 234-8000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1083953699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AVANT AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013916",
            "telephone_number": "580-323-3322",
            "fax_number": "580-323-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AVANT AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013916",
            "telephone_number": "580-323-3322",
            "fax_number": "580-323-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "M.S. LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.