PAIGE VANDEGRIFT – Mental Health Counselor, NPI 1881067502

PAIGE VANDEGRIFT is a healthcare provider. based in Tishomingo, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for PAIGE VANDEGRIFT is 1881067502

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PAIGE VANDEGRIFT
NPI
1881067502
Phone
(580) 371-2392
Address
817 E 6TH ST
Enumeration Date
3 November 2015
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5804363980
Graduation Year
2015 (11 years ago)
PAC ID
9830549948
Group Practice PAC ID
8426957523
Professional Enrollment ID
I20240102000603
Address ID
OK748203439AD1921XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for PAIGE VANDEGRIFT

  • 817 E 6TH ST

    TISHOMINGO, OK 734601800

    Phone: (580) 371-2392

    Fax: (580) 421-6283

    Type: Location

  • 527 W 3RD ST

    KONAWA, OK 748491415

    Phone: (580) 925-3286

    Fax: (580) 925-9149

    Type: Mailing

  • 1921 STONECIPHER DR

    ADA, OK 748203439

    Phone: (580) 421-4570

    Fax: (580) 421-6283

    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: 2024-01-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240102000603IMental Health CounselorTXTBD

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 73460)

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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: 8426957523View full group profile

Reviews

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Frequently asked questions

Is PAIGE VANDEGRIFT listed with a National Provider Identifier?
Yes — PAIGE VANDEGRIFT has NPI 1881067502 on file in the registry.
Active or inactive — what applies to PAIGE VANDEGRIFT?
You should see PAIGE VANDEGRIFT as active in CMS-hosted NPPES data.
What clinical focus is listed for PAIGE VANDEGRIFT?
At a glance, PAIGE VANDEGRIFT is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is PAIGE VANDEGRIFT registered?
Use Tishomingo, Oklahoma as the headline location for PAIGE VANDEGRIFT here.
When was this NPI issued?
Enumeration for PAIGE VANDEGRIFT is noted as November 3, 2015 where the registry provides it.

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