Active NPI
Mary Elizabeth Gates, PHD
- Professional Counselor
- Laverne, OK
National Provider Identifier
1912131996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10474
- Practice address
- 18905 E 22 Rd
Laverne, OK 73848-4834 - Phone
- (580) 216-3847
- NPI assigned
- May 6, 2009
- Last updated
- Apr 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10474 | OK | |
| Mental Health Counselor | 101YM0800X | 0106 | OK | |
| Mental Health Counselor | 101YM0800X | 2167 | OK | |
| Professional Counselor | 101YP2500X | LPC.0005033 | CO | |
| Professional Counselor | 101YP2500X | 10474 | OK | Primary |
Addresses
Primary practice location
18905 E 22 Rd
Laverne, OK 73848-4834
Mailing address
18905 E 22 Rd
Laverne, OK 73848-4834
Phone (580) 216-3847
Other practice location 1
400 W Midland Ave Ste 275
Woodland Park, CO 80863-3204
Phone (719) 484-9334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009294074A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Tahlequah, OK 74464
Phone (855) 241-7160
7712 Windwood Way
Parker, CO 80134-6343
Phone (855) 241-7160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10474 | OK | MD | Counselor |
| 2167 | OK | MD | Counselor |
| 0106 | OK | MD | Mental Health Counselor |
| LPC.0005033 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMSC Az LLC | Single Specialty | Current | Accepting new patients |
| Blue Moon of Colorado LLC | Single Specialty | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Christopher B Estep | Single Specialty | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 896-7160
1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ute Pass Psychological Consultation
- Community/Behavioral Health Agency
- Woodland Park, CO
- NPI 1922800259
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1912131996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18905 E 22 RD",
"city": "LAVERNE",
"state": "OK",
"postal_code": "738484834",
"telephone_number": "580-216-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18905 E 22 RD",
"city": "LAVERNE",
"state": "OK",
"postal_code": "738484834",
"telephone_number": "580-216-3847"
}
],
"practiceLocations": [
{
"address_1": "400 W Midland Ave Ste 275",
"address_purpose": "LOCATION",
"city": "Woodland Park",
"state": "CO",
"postal_code": "808633204",
"country_code": "US",
"telephone_number": "719-484-9334",
"fax_number": "206-484-9334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATES",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "10474",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "0106",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "2167",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0005033",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "10474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009294074A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laverne, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.