Individual provider Active NPI

Carolyn J Rainwater

  • Mental Health Counselor
  • Lone Grove, OK
National Provider Identifier
1114442092
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
83 Orchard St
Lone Grove, OK 73443-6443
Phone
(580) 630-4229
NPI assigned
Aug 11, 2017
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

83 Orchard St
Lone Grove, OK 73443-6443

Mailing address

PO Box 1732
Lone Grove, OK 73443-1732
Phone (580) 630-4229

Other practice location 1

333 W Main St Ste 140
Ardmore, OK 73401-6321
Phone (580) 224-2929

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
I20251002002609 OK Practitioner - Mental Health Counselor 3072019694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Lynch Family Services LLCGroup PAC ID 0446584205, 15 clinicians

Practice addresses (Care Compare)

333 W Main St
Suite 140
Ardmore, OK 73401-6321
Phone (580) 224-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lynch Family Services LLC CurrentSince Sep 18, 2025 Accepting new patients
Rainwater Counseling, LLC Mental Health CurrentSince Jul 13, 2025 Accepting new patients

Locations

333 W Main St
Ste 140
Ardmore, OK 73401
Phone (580) 224-2929

333 W Main St
Ste 210
Ardmore, OK 73401
Phone (405) 664-7857

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1114442092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1732",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734431732",
            "telephone_number": "580-630-4229",
            "fax_number": "580-630-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ORCHARD ST",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734436443",
            "telephone_number": "580-630-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Main St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734016321",
            "country_code": "US",
            "telephone_number": "580-224-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINWATER",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Grove, OK

Sources for this page

Verify at the official NPI Registry.