Elizabeth Moore Mize
Individual provider Active NPI Mental Health Counselor · Wynnewood, OK
NPI 1770029472 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1770029472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 11224 (OK)
- Practice address
- 202 S Washita Ave
Wynnewood, OK 73098-7820 - Phone
- (405) 665-4385
- Fax
- (405) 665-6396
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3012 E 2110 Rd
Hugo, OK 74743-4522
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11224 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nsight for Life LLC | Current |
Accepting new patients |
Locations
1313 N 16th Ave
Durant, OK 74701
Phone (580) 634-2332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11224 | OK | Yes |
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | 11224 | OK |
Addresses
Primary practice location
202 S Washita Ave
Wynnewood, OK 73098-7820
Mailing address
3012 E 2110 Rd
Hugo, OK 74743-4522
Phone (918) 443-7063
Other practice location 1
3000 United Founders Blvd
Oklahoma City, OK 73112-3958
Phone (405) 842-8396
Other practice location 2
101 W 5th St
Wright City, OK 74766
Phone (918) 443-7063
Other practice location 3
1313 N 16th Ave
Durant, OK 74701-2134
Phone (580) 634-2332
Other providers in Wynnewood, OK
- Christy Keith
- Llawelyn Jean Levy
- Samantha Marie Lopez
- Mary Temple-Goins DDS PLLC
- Barbie Dawn McRacken
- Moore Chiropractic and Wellness
- Keegan Bryce Moore
- Tracie Marie Mullendore
- Murray County Urgent Care PLLC
- Tawanda Mae Northcutt
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 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.