Madison Wyant, LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10663 Issued in OK

Practice address

700 S Penn Ave
Bartlesville, OK 74003-3847

Phone

(918) 619-7343

NPI assigned

Jul 30, 2020

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

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Deeply Rooted Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bartlesville, OK
  • NPI 1295672475
  NPD Authorized official
• Grand Lake Mental Health Center, Inc.

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

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pawhuska, OK
  • NPI 1457993834
  NPD
• Grand Lake Mental Health Center, Inc.

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

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1417566852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PENN AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033847",
            "telephone_number": "620-515-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PENN AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033847",
            "telephone_number": "918-619-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5204 Jacquelyn Ln Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740067734",
            "country_code": "US",
            "telephone_number": "918-723-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYANT",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Lea Worth, H.I.S.
• Josh Lee Wright, BS
• Marvin G Wright, BS
• Megan May Wright
• Natasha G Wright
• Becky Y Yang
• John Anthony Yeabower Jr., MD
• Brenda L Yirsa
• Youth & Family Services of Washington Co. Inc
• Youth and Family Services

• Professional Counselor in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.