Individual provider Active NPI

Merita Tyrell-Mitchell, LMFT

  • Marriage & Family Therapist
  • Lawton, OK
National Provider Identifier
1811285158
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1144 Issued in OK
Practice address
1719 SW 11TH St
Lawton, OK 73501-7305
Phone
(580) 581-1818
Fax
(580) 581-1819
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1144 OK Primary

Addresses

Primary practice location

1719 SW 11TH St
Lawton, OK 73501-7305

Mailing address

20 NW 25TH St
Lawton, OK 73505-6204
Phone (580) 284-7083

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
I20260512001065 OK Practitioner - Marriage and Family Therapist 5597234286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 W Gore Blvd
Lawton, OK 73505-6332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-County Counseling, Inc. Past Accepting new patients
Multi County Counseling, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1811285158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NW 25TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056204",
            "telephone_number": "580-284-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 SW 11TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735017305",
            "telephone_number": "580-581-1818",
            "fax_number": "580-581-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRELL-MITCHELL",
        "first_name": "MERITA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-02-15",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.