Dr Lanny Ray Endicott, LCSW, LMFT - Counselor in Broken Arrow, OK

Dr Lanny Ray Endicott, LCSW, LMFT is a Counselor - Mental Health based in Broken Arrow, Oklahoma. Dr Lanny Ray Endicott is licensed to practice in Oklahoma (license number LCSW 296) and his current practice location is 3631 S Elm Pl, Broken Arrow, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 557-8789.

NPI number for Dr Lanny Ray Endicott is 1386920585 and his current mailing address is 1208 E 58th St, Tulsa, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386920585.

Contact Information

Dr Lanny Ray Endicott, LCSW, LMFT
3631 S Elm Pl,
Broken Arrow, OK 74011-1856
(918) 557-8789
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Lanny Ray Endicott
GenderMale
SpecialityCounselor - Mental Health
Location3631 S Elm Pl, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386920585
  • Provider Enumeration Date: 11/01/2011
  • Last Update Date: 01/10/2022

Medical Identifiers

Medical identifiers for Dr Lanny Ray Endicott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386920585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LMFT 328 (Oklahoma)Secondary
101YM0800XCounselor - Mental Health LCSW 296 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lanny Ray Endicott is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lanny Ray Endicott, LCSW, LMFT
1208 E 58th St,
Tulsa, OK 74105-8401

Ph: (918) 742-5597
Dr Lanny Ray Endicott, LCSW, LMFT
3631 S Elm Pl,
Broken Arrow, OK 74011-1856

Ph: (918) 557-8789

Reviews and Comments


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