LISA NICHOLE TODD (B.S.) – Mental Health Counselor, NPI 1639373954

LISA NICHOLE TODD (B.S.) is a healthcare provider. based in Ardmore, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials B.S.. The NPI Number for LISA NICHOLE TODD (B.S.) is 1639373954

Main info

Female
9 Years Of Experience
Name
LISA NICHOLE TODD (B.S.)
NPI
1639373954
Phone
(580) 223-5636
Address
2530 S COMMERCE
Enumeration Date
12 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802242929
Graduation Year
2017 (9 years ago)
PAC ID
0840731774
Group Practice PAC ID
0446584205
Professional Enrollment ID
I20240919000776
Address ID
OK734016321AR333XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for LISA NICHOLE TODD (B.S.)

  • Commerce Street Northeast, Ardmore, Carter County, Oklahoma, 73401, United States

    ARDMORE, OK 734010189

    Phone: (580) 223-5636

    Fax: (580) 226-6727

    Type: Location

  • 403 ASH ST

    ARDMORE, OK 734011720

    Phone: (580) 223-5636

    Fax: (580) 226-6727

    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: 2024-09-19

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
I20240919000776IMental 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 73401)

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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: 0446584205View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What unique ID ties claims to LISA NICHOLE TODD (B.S.)?
NPI 1639373954 is assigned to LISA NICHOLE TODD (B.S.) under the national enumeration system.
Is LISA NICHOLE TODD (B.S.) active in the national directory?
LISA NICHOLE TODD (B.S.)'s public NPI profile is in an active state.
What kind of provider is LISA NICHOLE TODD (B.S.)?
The page reflects Mental Health Counselor for LISA NICHOLE TODD (B.S.). Clinical services aligned with this taxonomy classification.
What location shows for LISA NICHOLE TODD (B.S.)?
We surface Ardmore, Oklahoma for LISA NICHOLE TODD (B.S.) based on available NPPES addresses.
What if Ardmore, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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