DESTINY LYN ELLIS (LPC-S) – Counselor, NPI 1790205094
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,199 MENTAL HEALTH COUNSELOR in OK
Provider Addresses for DESTINY LYN ELLIS (LPC-S)
8306 E. HWY 88
OOLOGAH, OK 74053
Phone: (918) 728-9516
Type: Location
8306 E HIGHWAY 88
OOLOGAH, OK 740536396
Phone: (918) 728-9516
Type: Mailing
12834 OLD U.S. 169
OOLOGAH, OK 74053
Phone: (918) 695-2059
Fax: (918) 221-7975
Type: Location
15031 S 4060 RD
OOLOGAH, OK 740533737
Phone: (918) 728-9516
Type: Mailing
8551 N 125TH EAST AVE STE 250
OWASSO, OK 740552160
Phone: (918) 760-5243
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-04-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250402003346 | I | Mental Health Counselor | OK | TBD |
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.
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 74053)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | AR | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.