MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) – Mental Health Counselor, NPI 1487856126

MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) is a healthcare provider. based in Seminole, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, CM-A. The NPI Number for MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) is 1487856126

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)
NPI
1487856126
Phone
(405) 382-4507
Address
2010 BOREN BLVD
Enumeration Date
4 June 2007
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053824507
Graduation Year
2002 (24 years ago)
PAC ID
8820448285
Group Practice PAC ID
6406748961
Professional Enrollment ID
I20231227001298
Address ID
OK748682050SE2010XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)

  • Boren Boulevard, Seminole, Seminole County, Oklahoma, 74868, United States

    SEMINOLE, OK 748682050

    Phone: (405) 382-4507

    Fax: (405) 382-5269

    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: 2023-12-27

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
I20231227001298IMental 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 74868)

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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: 6406748961View full group profile
NameSpecialtyState
Addiction Medicine, PsychiatryOK
Mental Health CounselorOK
Family Practice, PsychiatryOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Marriage And Family TherapistOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Does MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) have a public NPI I can cite?
Public records show MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) under NPI 1487856126.
Does the public listing show MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) as active?
MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)'s NPI record reflects an active status in NPPES.
What services align with MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)'s listing?
MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)?
MRS. JEANNEROSA DEPAZ LAY (MS, CM-A) shows a connection to Seminole, Oklahoma in registry-derived data.
Why is information missing for MRS. JEANNEROSA DEPAZ LAY (MS, CM-A)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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