Avis M Taylor, MS, LPC – Mental Health Counselor

Key facts

NPI: 1760689574
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 2437 (OK)
Practice address: 202 S Washita Ave
Wynnewood, OK 73098-7820
Phone: (580) 665-4385
NPI assigned: Jun 27, 2007
Sex: Female
Sole proprietor: No

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.

Mental Health Services of Southern Oklahoma Community/Behavioral Health Agency · Ardmore, OK · NPI 1245511187

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
2437	OK	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Mental Health Services of Southern Oklahoma		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	2437	OK	Yes

Addresses

Primary practice location

202 S Washita Ave
Wynnewood, OK 73098-7820

Mailing address

1604 Rustic Dr
Ardmore, OK 73401-1071
Phone (580) 465-2847

Other identifiers

Identifier	Type	State	Issuer
101Y00000X	Medicaid	OK

Other providers in Wynnewood, OK

All providers in Wynnewood, OK · Mental Health Counselor in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.