Marcia Mahurin
Individual provider Active NPI Mental Health Counselor · Colony, OK
NPI 1831565076 · NPPES record last updated Aug 11, 2015
Key facts
- NPI
- 1831565076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3603 (OK)
- Practice address
- 11748 N 2420 Rd
Colony, OK 73021-2007 - Phone
- (580) 302-2425
- Fax
- (405) 285-1652
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oklahoma Mental Health Collective
Practice addresses (Care Compare)
435 W Main St
Eakly, OK 73033-0185
Phone (405) 323-0548
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206002668 | OK | Practitioner - Mental Health Counselor | 0143663286 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3603 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Mental Health Collective | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3603 | OK | Yes |
Addresses
Primary practice location
11748 N 2420 Rd
Colony, OK 73021-2007
Mailing address
11748 N 2420 Rd
Colony, OK 73021-2007
Phone (580) 302-2425
Other providers in Colony, OK
All providers in Colony, 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 Aug 11, 2015. 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.