Individual provider Active NPI

Misty Dawn Watkins, LPC

  • Professional Counselor
  • Chickasha, OK
National Provider Identifier
1316300429
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7252 Issued in OK
Practice address
1010 S 7TH St
Chickasha, OK 73018-4406
Phone
(580) 284-8729
Fax
(580) 771-2012
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2746 SC
Professional Counselor 101YP2500X TPMC7818 FL
Professional Counselor 101YP2500X 7252 OK Primary

Addresses

Primary practice location

1010 S 7TH St
Chickasha, OK 73018-4406

Mailing address

1010 S 7TH St
Chickasha, OK 73018-4406
Phone (580) 284-8729

Other names 1

  • Ms. Misty Dawn Weaver Former name

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
I20240424000636 OK Practitioner - Mental Health Counselor 0547609521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC7818FLMDProfessional Counselor
7252OKMDProfessional Counselor
2746SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Mhsa CurrentSince Mar 17, 2024 Accepting new patients
Misty Watkins CurrentSince Jan 14, 2024 Accepting new patients

Locations

307 SW B St
Antlers, OK 74523
Phone (580) 326-8605

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1316300429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 7TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730184406",
            "telephone_number": "580-284-8729",
            "fax_number": "580-771-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 7TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730184406",
            "telephone_number": "580-284-8729",
            "fax_number": "580-771-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC7818",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "WEAVER",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.