Individual provider Active NPI

Crystal Amanda Pitts

  • Mental Health Counselor
  • Moore, OK
National Provider Identifier
1225678576
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10602 Issued in OK
Practice address
1211 Magnolia Court
Suite 101
Moore, OK 73160
Phone
(405) 317-7646
NPI assigned
Jan 14, 2020
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10602 OK Primary

Addresses

Primary practice location

1211 Magnolia Court
Suite 101
Moore, OK 73160

Mailing address

1211 Magnolia CT Ste 101
Moore, OK 73160-1396
Phone (405) 317-7646

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
I20240401000057 OK Practitioner - Mental Health Counselor 9830537612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Lynch Family Services LLCGroup PAC ID 0446584205, 15 clinicians

Practice addresses (Care Compare)

333 W Main St
Suite 140
Ardmore, OK 73401-6321
Phone (580) 224-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10602OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynch Family Services LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

333 W Main St
Ste 140
Ardmore, OK 73401
Phone (580) 224-2929

333 W Main St
Ste 210
Ardmore, OK 73401
Phone (405) 664-7857

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1225678576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MAGNOLIA CT STE 101",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601396",
            "telephone_number": "405-317-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MAGNOLIA COURT",
            "address_2": "SUITE 101",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-317-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "CRYSTAL",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.