AMY MERRELL (LPC) – Counselor, NPI 1235456740

AMY MERRELL (LPC) is a healthcare provider. based in Moore, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC04703 (OK). The NPI Number for AMY MERRELL (LPC) is 1235456740

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
AMY MERRELL (LPC)
NPI
1235456740
Phone
(405) 378-2727
Address
1105 SW 30TH CT
Enumeration Date
23 April 2010
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053782727
Graduation Year
2009 (17 years ago)
PAC ID
9537519137
Group Practice PAC ID
3476927740
Professional Enrollment ID
I20251231004377
Address ID
OK731602887MO1105XCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for AMY MERRELL (LPC)

  • 1105 SW 30TH CT

    MOORE, OK 731602887

    Phone: (405) 378-2727

    Type: Mailing

  • 1108 SW 30th Ct Ste B

    Moore, OK 731602888

    Phone: (405) 378-2727

    Type: Location

  • 4913 W RENO AVE

    OKLAHOMA CITY, OK 731276339

    Phone: (405) 948-4900

    Fax: (405) 948-4933

    Type: Mailing

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: 2025-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231222000328IMental Health CounselorTXTBD
I20251231004377IMental Health CounselorOKTBD

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 73160)

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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: 3476927740View full group profile
NameSpecialtyState
Mental Health CounselorOK
Nurse PractitionerOK
Nurse PractitionerOK
Clinical Social WorkerOK
Nurse PractitionerOK
Marriage And Family TherapistOK
Physician AssistantOK
Mental Health CounselorOK
Clinical Social WorkerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I cross-check AMY MERRELL (LPC) using NPI 1235456740?
NPI 1235456740 belongs to AMY MERRELL (LPC); compare other details if you need extra assurance.
Active or inactive — what applies to AMY MERRELL (LPC)?
You should see AMY MERRELL (LPC) as active in CMS-hosted NPPES data.
What clinical focus is listed for AMY MERRELL (LPC)?
At a glance, AMY MERRELL (LPC) is tied to Counselor. Clinical services aligned with this taxonomy classification.
Is AMY MERRELL (LPC) associated with Moore?
Public fields place AMY MERRELL (LPC) around Moore, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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