Individual provider Active NPI

Chantelle Nicole Muse

  • Marriage & Family Therapist
  • Duncan, OK
National Provider Identifier
1508492380
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
23 N 8TH St
Duncan, OK 73533-4601
Phone
(254) 220-0759
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

23 N 8TH St
Duncan, OK 73533-4601

Mailing address

712 NW 31St St
Lawton, OK 73505-5102
Phone (254) 220-0759

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
I20260105000811 OK Practitioner - Marriage and Family Therapist 9234625757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

712 NW 31St St
Lawton, OK 73505-5102

PO Box
Suite 309
Antlers, OK 74523

PO Box
Suite 309
Antlers, OK 74523-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11249OKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Mhsa CurrentSince Nov 1, 2025 Accepting new patients

Locations

307 SW B St
Antlers, OK 74523
Phone (580) 326-8605

19 NE 20th St
Ste 73507
Lawton, OK 73507

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1508492380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 NW 31ST ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055102",
            "telephone_number": "254-220-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N 8TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334601",
            "telephone_number": "254-220-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "CHANTELLE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.