ELIZABETH LANELL WARREN – Mental Health Counselor, NPI 1063850170

ELIZABETH LANELL WARREN is a healthcare provider. based in Antlers, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for ELIZABETH LANELL WARREN is 1063850170

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH LANELL WARREN
NPI
1063850170
Phone
(580) 298-5062
Address
1322 W MAIN ST
Enumeration Date
11 June 2013
Last Update Date
11 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185677000
Graduation Year
1984 (42 years ago)
PAC ID
6103279724
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20240131001473
Address ID
OK745712022TA1XXXXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for ELIZABETH LANELL WARREN

  • 1322 W MAIN ST

    ANTLERS, OK 745232016

    Phone: (580) 298-5062

    Fax: (580) 298-9958

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240131001473IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74523)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK
Family PracticeOK

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Frequently asked questions

What is the standard ID for ELIZABETH LANELL WARREN in the U.S.?
In the U.S., ELIZABETH LANELL WARREN is identified by NPI 1063850170.
Does the public listing show ELIZABETH LANELL WARREN as active?
ELIZABETH LANELL WARREN's NPI record reflects an active status in NPPES.
Which specialty label fits ELIZABETH LANELL WARREN?
NPPES ties ELIZABETH LANELL WARREN to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ELIZABETH LANELL WARREN tied to Antlers, Oklahoma?
If you are local to Antlers, Oklahoma, ELIZABETH LANELL WARREN may be relevant to your search.
Can I export ELIZABETH LANELL WARREN's record?
You can download the official NPPES record; we summarize key fields for readability.

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