Active NPI
Malori Beth Mixon
- Mental Health Counselor
- Atoka, OK
National Provider Identifier
1487248597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 144 W Ruth Ave
Atoka, OK 74525-4002 - Phone
- (918) 649-7989
- NPI assigned
- Mar 1, 2021
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OK | Primary | |
| Case Manager/Care Coordinator | 171M00000X | OK |
Addresses
Primary practice location
144 W Ruth Ave
Atoka, OK 74525-4002
Mailing address
948 W 13TH St
Atoka, OK 74525-3425
Phone (918) 649-7989
Other practice location 1
1212 E Kirk St
Hugo, OK 74743-3607
Phone (580) 326-5279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hearts Counseling & Consulting, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Hugo, OK
- NPI 1144739657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1487248597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 W 13TH ST",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253425",
"telephone_number": "918-649-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W RUTH AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "745254002",
"telephone_number": "918-649-7989"
}
],
"practiceLocations": [
{
"address_1": "1212 E Kirk St",
"address_purpose": "LOCATION",
"city": "Hugo",
"state": "OK",
"postal_code": "747433607",
"country_code": "US",
"telephone_number": "580-326-5279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIXON",
"first_name": "MALORI",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.