Individual provider Active NPI

Lara Jean Langley, M.ED, L.P.C.

  • Professional Counselor
  • Elk City, OK
National Provider Identifier
1225049190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2457 Issued in OK
Practice address
3080 W 3Rd St
Elk City, OK 73644-4323
Phone
(580) 225-5136
Fax
(580) 225-5138
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2457 OK Primary

Addresses

Primary practice location

3080 W 3Rd St
Elk City, OK 73644-4323

Mailing address

PO Box 1106
Elk City, OK 73648-1106
Phone (580) 225-5136

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
I20231228002228 OK Practitioner - Mental Health Counselor 9931559291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Mental Health CouncilGroup PAC ID 3173514387, 69 clinicians

Practice addresses (Care Compare)

4130 N Lincoln Blvd
Red Rock Behavioral Health Services
Oklahoma City, OK 73105-5209
Phone (405) 424-7711

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

4420 N Lincon Blvd
Red Rock Behavioral
Oklahoma City, OK 73105-5104
Phone (405) 424-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2457OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Mental Health Council Current Accepting new patients
Oklahoma Mental Health Council CurrentSince Jan 1, 2024 Accepting new patients

Locations

4400 N Lincoln Blvd
Oklahoma City, OK 73105

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225049190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736481106",
            "telephone_number": "580-225-5136",
            "fax_number": "580-225-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444323",
            "telephone_number": "580-225-5136",
            "fax_number": "580-225-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "LARA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.ED, L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.