Individual provider Active NPI

Annette Watson, LPC

  • Professional Counselor
  • Atoka, OK
National Provider Identifier
1659641090
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05448 Issued in OK
Practice address
401 Greathouse Dr
Atoka, OK 74525-1647
Phone
(580) 239-2071
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5448 OK
Professional Counselor 101YP2500X LPC05448 OK Primary

Addresses

Primary practice location

401 Greathouse Dr
Atoka, OK 74525-1647

Mailing address

PO Box 52
Atoka, OK 74525-0052
Phone (580) 239-2071

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
I20231221000104 OK Practitioner - Mental Health Counselor 0345690046 Reassigns benefits to 3 organizations
Practice locations: Atoka, OK

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quest MhsaGroup PAC ID 4688943657, 19 clinicians
Senior Psychological Care of Oklahoma, LLCGroup PAC ID 7214311448, 7 clinicians

Practice addresses (Care Compare)

307 SW B St
Antlers, OK 74523-3824
Phone (580) 326-8605

8555 S Lewis Ave
Tulsa, OK 74137-1218
Phone (713) 850-0049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC05448OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carewright Clinical Services, PLLC CurrentSince Dec 22, 2025 Accepting new patients
Quest Mhsa CurrentSince Nov 15, 2024 Accepting new patients
Senior Psychological Care of Oklahoma, LLC CurrentSince Jul 28, 2025 Accepting new patients
Faith Based Counseling LLC Past Accepting new patients

Locations

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

101 Sherrard St
Colbert, OK 74733
Phone (580) 296-4500

1530 NE Grand Blvd
Oklahoma City, OK 73117
Phone (405) 424-2273

6202 E 61st St
Tulsa, OK 74136
Phone (918) 477-7171

8555 S Lewis Ave
Tulsa, OK 74137
Phone (918) 298-3652

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

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": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1659641090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745250052",
            "telephone_number": "580-239-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREATHOUSE DR",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745251647",
            "telephone_number": "580-239-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANNETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC05448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.