MARTI LEEANN NICHOLS (LBHP) – Mental Health Counselor, NPI 1538495692

MARTI LEEANN NICHOLS (LBHP) is a healthcare provider. based in Colcord, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LBHP. They hold a License No. 1274 (OK). The NPI Number for MARTI LEEANN NICHOLS (LBHP) is 1538495692

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MARTI LEEANN NICHOLS (LBHP)
NPI
1538495692
Phone
(918) 864-0353
Address
56577 COUNTY ROAD 660
Enumeration Date
26 October 2009
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186080380
Graduation Year
2012 (14 years ago)
PAC ID
4981197811
Group Practice PAC ID
0345670733
Professional Enrollment ID
I20251201000371
Address ID
OK740173159CL1402XAVEX402
Telehealth
Yes
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 MARTI LEEANN NICHOLS (LBHP)

  • 56577 COUNTY ROAD 660

    COLCORD, OK 743382520

    Phone: (918) 864-0353

    Type: Mailing

  • 205, South Adair Street, Pryor Creek, Mayes County, Oklahoma, 74361, United States

    PRYOR, OK 743615201

    Phone: (918) 825-4872

    Type: Location

  • 308, South Whitaker Street, Pryor Creek, Mayes County, Oklahoma, 74361, United States

    PRYOR, OK 743613424

    Phone: (918) 864-0353

    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: 2025-12-01

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
I20251201000371IMental 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 74338)

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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: 0345670733View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Marriage And Family TherapistOK
Nurse PractitionerOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK
Clinical Social WorkerOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

What federal number belongs to MARTI LEEANN NICHOLS (LBHP)?
The federal identifier for MARTI LEEANN NICHOLS (LBHP) is NPI 1538495692.
Does this profile mean MARTI LEEANN NICHOLS (LBHP) is currently active?
Yes — MARTI LEEANN NICHOLS (LBHP) appears active in the national provider directory.
Does MARTI LEEANN NICHOLS (LBHP) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for MARTI LEEANN NICHOLS (LBHP). Clinical services aligned with this taxonomy classification.
Does MARTI LEEANN NICHOLS (LBHP) practice in Oklahoma?
You will see Colcord, Oklahoma on file for MARTI LEEANN NICHOLS (LBHP) alongside any extra practice locations.
Is MARTI LEEANN NICHOLS (LBHP) a real provider?
This page reflects official NPPES data for NPI 1538495692. Always confirm identity and privileges with the practice and licensing boards.

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