Individual provider Active NPI

Mersedes Alane Lewis, MS, LPC CANDIDATE

  • Counselor
  • Ada, OK
National Provider Identifier
1497682298
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCCANDIDATE13316 Issued in OK
Practice address
710 Colony Dr
Ada, OK 74820-2297
Phone
(580) 436-7206
Fax
(580) 272-5757
NPI assigned
May 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCCANDIDATE13316 OK Primary

Addresses

Primary practice location

710 Colony Dr
Ada, OK 74820-2297

Mailing address

124 E Main St Ste B4
Ada, OK 74820-5623
Phone (580) 436-7206

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPCCANDIDATE13316OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation - Family Services 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1497682298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST STE B4",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205623",
            "telephone_number": "580-436-7206",
            "fax_number": "580-272-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202297",
            "telephone_number": "580-436-7206",
            "fax_number": "580-272-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MERSEDES",
        "middle_name": "ALANE",
        "credential": "MS, LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPCCANDIDATE13316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.