INNER PEACE PASTORAL COUNSELING PLLC – Professional Counselor, NPI 1801929781

INNER PEACE PASTORAL COUNSELING PLLC is a healthcare provider. based in Yukon, Oklahoma. specializing in Professional Counselor. The organization holds a License No. 3102 (OK). The NPI Number for INNER PEACE PASTORAL COUNSELING PLLC is 1801929781

Main info

Organization
Name
INNER PEACE PASTORAL COUNSELING PLLC
NPI
1801929781
Phone
(405) 820-6992
Address
1605 PROFESSIONAL CIR
Authorized Official
DR. MARK DAVID HEANEY THERAPIST LPC
Enumeration Date
13 March 2007
Last Update Date
6 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for INNER PEACE PASTORAL COUNSELING PLLC

  • 1605 PROFESSIONAL CIR

    YUKON, OK 730996314

    Phone: (405) 820-6992

    Type: Mailing

  • 221 S BICKFORD AVE

    EL RENO, OK 730362756

    Phone: (405) 820-6992

    Type: Location

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: 2023-12-21

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
O20231221001691OClinic/Group PracticeOKTBD

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

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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 73099)

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Reviews

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Frequently asked questions

Can I use this page to confirm INNER PEACE PASTORAL COUNSELING PLLC's NPI?
Yes. INNER PEACE PASTORAL COUNSELING PLLC is listed with NPI 1801929781 in the public NPI dataset.
Is INNER PEACE PASTORAL COUNSELING PLLC listed as active for patients and plans?
The listing shows INNER PEACE PASTORAL COUNSELING PLLC as active in the NPI system.
What taxonomy line describes INNER PEACE PASTORAL COUNSELING PLLC?
For research purposes, treat INNER PEACE PASTORAL COUNSELING PLLC as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does INNER PEACE PASTORAL COUNSELING PLLC serve?
INNER PEACE PASTORAL COUNSELING PLLC's listing highlights Yukon, Oklahoma; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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