Individual provider Active NPI

Esther Leanne Bautista, LPC

  • Professional Counselor
  • Wynnewood, OK
National Provider Identifier
1205100369
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7333 Issued in OK
Practice address
202 S Washita Ave
Wynnewood, OK 73098-7820
Phone
(405) 666-4385
NPI assigned
Mar 6, 2012
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7333 OK
Mental Health Counselor 101YM0800X 7333 OK
Professional Counselor 101YP2500X 7333 OK Primary

Addresses

Primary practice location

202 S Washita Ave
Wynnewood, OK 73098-7820

Mailing address

23880 State Highway 59
Maysville, OK 73057-3706
Phone (580) 371-5689

Other practice location 1

23880 State Highway 59
Maysville, OK 73057-3706
Phone (580) 371-5689

Other identifiers 1

IdentifierTypeStateIssuer
200418950MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1205100369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23880 STATE HIGHWAY 59",
            "city": "MAYSVILLE",
            "state": "OK",
            "postal_code": "730573706",
            "telephone_number": "580-371-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S WASHITA AVE",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730987820",
            "telephone_number": "405-666-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23880 State Highway 59",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "OK",
            "postal_code": "730573706",
            "country_code": "US",
            "telephone_number": "580-371-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ESTHER",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "7333",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7333",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418950",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.