Scott McCleary, LPC CANDIDATE
Individual provider Active NPI Mental Health Counselor · Barnsdall, OK
NPI 1134559792 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1134559792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 401 W Main St
Barnsdall, OK 74002 - Phone
- (918) 418-6155
- NPI assigned
- Nov 19, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
114 W Delaware Ave
Nowata, OK 74048-2601
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224001955 | OK | Practitioner - Mental Health Counselor | 8527549997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients |
Locations
705 S Virginia Ave
Bartlesville, OK 74003
Phone (918) 231-0810
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
401 W Main St
Barnsdall, OK 74002
Mailing address
401 W Main St
Barnsdall, OK 74002
Phone (918) 418-6155
Other providers in Barnsdall, OK
- Ursula Kitchen
- Thomas Carl Libby II
- Crala Marlin
- Marilyn D Marshall
- Tonya Mason
- Lora Lavon McDermott
- Gale A. Mills
- Mason Allan Moody
- Jessi Nichol Neal
- Mary M Noble
All providers in Barnsdall, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.