Individual provider Active NPI

Luquetta Donyelle McClarty, M.H.R.

  • Counselor
  • Midwest City, OK
National Provider Identifier
1487972444
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5710 E Reno Ave Ste C
Midwest City, OK 73110-2005
Phone
(405) 455-7244
Fax
(405) 455-7292
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Counselor 101Y00000X Primary

Addresses

Primary practice location

5710 E Reno Ave Ste C
Midwest City, OK 73110-2005

Mailing address

2513 SE 89TH Ter
Moore, OK 73160-6067
Phone (405) 476-2945

Other practice location 1

2513 SE 89th Ter
Moore, OK 73160-6067
Phone (405) 476-2945

Other identifiers 1

IdentifierTypeStateIssuer
461950908MedicaidOK

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
I20260407002400 OK Practitioner - Mental Health Counselor 2860967833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Behavioral Wellness CentersGroup PAC ID 6406748961, 59 clinicians

Practice addresses (Care Compare)

2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinky Promise Keepers PLLC PastSince Apr 20, 2021 Accepting new patients
Deep Thoughts and Wellness Center Past Accepting new patients
Luquetta McClarty & Co PLLC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1487972444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SE 89TH TER",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606067",
            "telephone_number": "405-476-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 E RENO AVE STE C",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102005",
            "telephone_number": "405-455-7244",
            "fax_number": "405-455-7292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 SE 89th Ter",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731606067",
            "country_code": "US",
            "telephone_number": "405-476-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLARTY",
        "first_name": "LUQUETTA",
        "middle_name": "DONYELLE",
        "name_prefix": "Mrs.",
        "credential": "M.H.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461950908",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.