Individual provider Active NPI

Melissa Gail Fritts Winkler, MS; LMFT

  • Marriage & Family Therapist
  • Pauls Valley, OK
National Provider Identifier
1144551714
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1147 Issued in OK
Practice address
513 S Willow St Ste 6
Pauls Valley, OK 73075-3849
Phone
(580) 695-5525
Fax
(450) 926-2089
NPI assigned
Jan 21, 2010
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1147 OK Primary

Addresses

Primary practice location

513 S Willow St Ste 6
Pauls Valley, OK 73075-3849

Mailing address

PO Box 826
Pauls Valley, OK 73075-0826
Phone (580) 695-5525

Other identifiers 1

IdentifierTypeStateIssuer
100734740-FMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@excelmhs.com Health Information Exchange (HIE)

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
I20250102003102 OK Practitioner - Marriage and Family Therapist 0446601934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1147OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Wellness Centers Current Accepting new patients
Lighthouse Behavioral Wellness Centers CurrentSince May 4, 2024 Accepting new patients
Excel Mental Health Services, LLC Marriage & Family Therapist Past Accepting new patients

Locations

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 319-7305

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1144551714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750826",
            "telephone_number": "580-695-5525",
            "fax_number": "405-926-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S WILLOW ST STE 6",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753849",
            "telephone_number": "580-695-5525",
            "fax_number": "450-926-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITTS WINKLER",
        "first_name": "MELISSA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "MS; LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100734740-F",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@excelmhs.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "513 S Willow St",
            "city": "Pauls Valley",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730753849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

Verify at the official NPI Registry.