Gwynette Maria Chaney, MS. M.ED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6487 Issued in OK

Practice address

124 E 6TH St
Pawhuska, OK 74056-4204

Phone

(918) 604-6054

Fax

(918) 777-9018

NPI assigned

Apr 9, 2007

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gwynette Maria Chaney Olden Professional name

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

State licenses

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.

• Sydlyfe Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1154669828
  Medicare reassignment NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1366565905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 6TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564204",
            "telephone_number": "918-604-6054",
            "fax_number": "918-777-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 6TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564204",
            "telephone_number": "918-604-6054",
            "fax_number": "918-777-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "GWYNETTE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MS. M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWYNETTE",
            "last_name": "CHANEY OLDEN",
            "middle_name": "MARIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cori Lynn Butler, PHARMACIST
• Kristen Butts
• Kristi Ann Cabler, DPH
• Caregivers L.L.C. (Rehab Ranch)
• Central Med EMS, Inc.
• Robert Franklin Chesbro Jr., M.D.
• City of Pawhuska
• Lavina Kay Clark
• Melissa D Cole
• Seabrook Combs

• Mental Health Counselor in Pawhuska, OK
• Providers in Pawhuska, 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 Feb 9, 2022; 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.