Aaron Maytubby, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6447 Issued in OK

Practice address

109 N Fairland St
Pryor, OK 74361

Phone

(918) 825-1405

Fax

(918) 825-1406

NPI assigned

Mar 20, 2014

Last updated

Dec 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grand Lake Mental Health Center, Inc.

  dba GRAND Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, OK
  • NPI 1497762520
  Medicare reassignment NPD
• Grand Lake Mental Health Center, Inc.

  dba GRAND Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Afton, OK
  • NPI 1316954431
  NPD
• Grand Lake Mental Health Center, Inc.

  dba Grand Mental Health

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1356048656
  NPD

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1326465030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614203",
            "telephone_number": "918-825-1405",
            "fax_number": "918-825-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "74361",
            "telephone_number": "918-825-1405",
            "fax_number": "918-825-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Graham",
            "address_purpose": "LOCATION",
            "city": "Pryor",
            "state": "OK",
            "postal_code": "74361",
            "country_code": "US",
            "telephone_number": "918-825-1405",
            "fax_number": "918-825-1406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 E Graham",
            "address_purpose": "LOCATION",
            "city": "Pryor",
            "state": "OK",
            "postal_code": "74361",
            "country_code": "US",
            "telephone_number": "918-825-1405",
            "fax_number": "918-825-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYTUBBY",
        "first_name": "AARON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayes County HMPN, LLC (MCMC Anesthesia Billing)
• Mayes County HMPN, LLC (Orthopedic Clinic of Pryor)
• Mayes County Speech Therapy Services P.L.L.C.
• Mayes Emergency Services Trust Authority (Mesta)
• Katelynn Meichelle Mayfield, BHC/BHA
• Melissa McCann
• Alanna McCaskey
• Brielle McClain, LPN
• Cheri Shawntel McClure, LPN
• Anna Gabriela McCord, RN

• Mental Health Counselor in Pryor, OK
• Providers in Pryor, 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 Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.