Carol Lynn Vandiver

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCCANDIDATE13351 Issued in OK

Practice address

1625 W Garriott Rd Ste F
Enid, OK 73703-5653

Phone

(580) 242-4673

NPI assigned

Oct 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Lynn Vandiver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1164243002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S JANE LN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035060",
            "telephone_number": "580-478-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W GARRIOTT RD STE F",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035653",
            "telephone_number": "580-242-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 W A St",
            "address_purpose": "LOCATION",
            "city": "Watonga",
            "state": "OK",
            "postal_code": "737724208",
            "country_code": "US",
            "telephone_number": "405-425-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPCCANDIDATE13351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "VANDIVER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• United Methodist Home of Enid, Inc
• University of Oklahoma Health Scien Ctr Col of Med Enid Fam Med
• Urgent Care Associates PLLC
• Usaf
• Yasir Usman, MD
• Alicia Vanhooser, MD
• Jonathan Ross Vanhooser, MD
• Sara Varney, DNP, APRN, FNP-C
• Hannah Marie Vaughan
• Lora May Vaverka, NP-C

• Mental Health Counselor in Enid, OK
• Providers in Enid, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.