Misty Davis, LPC

Individual provider Active NPI Professional Counselor · Barnsdall, OK

NPI 1700321908 · NPPES record last updated May 6, 2026

Key facts

NPI
1700321908
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC06988 (OK)
Practice address
401 W. Main St.
Barnsdall, OK 74002-0000
Phone
(918) 847-3527
Fax
(918) 777-9018
NPI assigned
Dec 23, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

114 W Delaware Ave
Nowata, OK 74048-2601

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260305002955 OK Practitioner - Mental Health Counselor 9537641857 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC06988OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. Current
since Feb 26, 2026
Accepting new patients
Grand Lake Mental Health Center Inc Current
since Feb 26, 2026
Accepting new patients

Locations

1228 Pecan
Pawhuska, OK 74056
Phone (918) 287-3940

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC06988 OK Yes

Addresses

Primary practice location

401 W. Main St.
Barnsdall, OK 74002-0000

Mailing address

401 W. Main St.
Barnsdall, OK 74002-0000
Phone (918) 847-3527

Other practice location 1

9228 S Mingo Rd Ste 101
Tulsa, OK 74133-5721
Phone (405) 378-2727

Other providers in Barnsdall, OK

All providers in Barnsdall, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.