Active NPI
Lynett C. Mitten, LADC/MH
- Professional Counselor
- Warr Acres, OK
National Provider Identifier
1508230616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1460
- Practice address
- 5601 NW 72ND St Ste 234
Warr Acres, OK 73132-5920 - Phone
- (580) 374-3304
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1460 | OK | Primary |
Addresses
Primary practice location
5601 NW 72ND St Ste 234
Warr Acres, OK 73132-5920
Mailing address
9900 W Highway 66 Apt 2510
Yukon, OK 73099-0029
Phone (580) 374-3304
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251119002452 | OK | Practitioner - Mental Health Counselor | 3173014941 | Practice locations: Warr Acers, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5601 NW and 72ND St
246H
Warr Acers, OK 73132
Phone (580) 374-3304
9900 W Hwy 66 Apt 2510
Yukon, OK 73099-0029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1460 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1508230616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 W HIGHWAY 66 APT 2510",
"city": "YUKON",
"state": "OK",
"postal_code": "730990029",
"telephone_number": "580-374-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 NW 72ND ST STE 234",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731325920",
"telephone_number": "580-374-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTEN",
"first_name": "LYNETT",
"middle_name": "C.",
"credential": "LADC/MH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warr Acres, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.