Individual provider Active NPI

Lisa Nichole Todd, B.S.

  • Mental Health Counselor
  • Ardmore, OK
National Provider Identifier
1639373954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2530 S Commerce
Ardmore, OK 73401-0189
Phone
(580) 223-5636
Fax
(580) 226-6727
NPI assigned
Jun 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2530 S Commerce
Ardmore, OK 73401-0189

Mailing address

403 Ash St
Ardmore, OK 73401-1720
Phone (580) 223-5636

Other names 1

  • Lisa Nichole Hughson Former name

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
I20240919000776 OK Practitioner - Mental Health Counselor 0840731774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Lynch Family Services LLCGroup PAC ID 0446584205, 15 clinicians

Practice addresses (Care Compare)

333 W Main St
Suite 140
Ardmore, OK 73401-6321
Phone (580) 224-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lynch Family Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Mental Health Services of Southern Oklahoma Past Accepting new patients

Locations

333 W Main St
Ste 140
Ardmore, OK 73401
Phone (580) 224-2929

333 W Main St
Ste 210
Ardmore, OK 73401
Phone (405) 664-7857

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639373954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ASH ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011720",
            "telephone_number": "580-223-5636",
            "fax_number": "580-226-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S COMMERCE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734010189",
            "telephone_number": "580-223-5636",
            "fax_number": "580-226-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "LISA",
        "middle_name": "NICHOLE",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HUGHSON",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.