Individual provider Active NPI

Destinie Wiltshire, MS, LPC

  • Professional Counselor
  • Watts, OK
National Provider Identifier
1992043707
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7547 Issued in OK
Practice address
201 Main Street
Watts, OK 74964
Phone
(918) 442-4888
NPI assigned
Jan 29, 2013
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7547 OK Primary

Addresses

Primary practice location

201 Main Street
Watts, OK 74964

Mailing address

15520 E Hooty Creek Rd
Claremore, OK 74019-2105
Phone (918) 776-7305

Other identifiers 1

IdentifierTypeStateIssuer
1003988726OtherNPI

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
I20250116000890 OK Practitioner - Mental Health Counselor 5496283590 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mental Health, LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Alliance Mental Health - Colorado LLC Mental Health CurrentSince Mar 1, 2026 Accepting new patients
Alliance Mental Health, LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Alliance Mental Health, LLC. CurrentSince Mar 1, 2026 Accepting new patients
Alliance Mental Health Community Partnership CurrentSince Mar 1, 2026 Accepting new patients

Locations

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

630 E Steve Owens Blvd
Ste 2
Miami, OK 74354
Phone (918) 544-6080

510 S Elliott St
Ste D
Pryor, OK 74361

8 S Elliott St
Pryor, OK 74361

8988 S Sheridan Rd
Ste D2
Tulsa, OK 74133
Phone (970) 834-8610

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1992043707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 E HOOTY CREEK RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740192105",
            "telephone_number": "918-776-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "city": "WATTS",
            "state": "OK",
            "postal_code": "74964",
            "telephone_number": "918-442-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "DESTINIE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003988726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watts, OK

Sources for this page

Verify at the official NPI Registry.