Mrs Amber Nichole Sullivan Maxwell, MA LPC in Oklahoma City, OK

Mrs Amber Nichole Sullivan Maxwell, MA LPC is a medicare enrolled "Counselor - Mental Health" provider in Oklahoma City, Oklahoma. Her current practice location is 2617 General Pershing Blvd, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 858-1700.

Mrs Amber Nichole Sullivan Maxwell is licensed to practice in Oklahoma (license number 5404) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013279710.

Contact Information

	Mrs Amber Nichole Sullivan Maxwell, MA LPC
	2617 General Pershing Blvd, Oklahoma City, OK 73107-6437
	(405) 858-1700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amber Nichole Sullivan Maxwell
Gender	Female
Speciality	Counselor - Mental Health
Location	2617 General Pershing Blvd, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013279710
Provider Enumeration Date: 06/09/2012
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 1658720909
Enrollment ID: I20240109004271

Medical Identifiers

Medical identifiers for Mrs Amber Nichole Sullivan Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013279710	NPI	-	NPPES
4505	Other	OK	COUNSELOR- MENTAL HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	5404 (Oklahoma)	Secondary
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	5404 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amber Nichole Sullivan Maxwell allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma Mental Health Council
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034

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. Mrs Amber Nichole Sullivan Maxwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Amber Nichole Sullivan Maxwell, MA LPC Po Box 12978, Oklahoma City, OK 73157-2978 Ph: () -	Mrs Amber Nichole Sullivan Maxwell, MA LPC 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 Ph: (405) 858-1700

Reviews and Comments

Counselor in Oklahoma City, OK

Shannon Wattie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 United Founders Blvd Ste 239, Oklahoma City, OK 73112 Phone: 405-840-7040
Ms. Judy L. Lindstrom, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Oklahoma City, OK 73103 Phone: 405-272-0660
Carrolyn H Salvatierra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Room 216, Oklahoma City, OK 73103 Phone: 405-272-0660 Fax: 405-272-1596
Valerie Denise Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-425-0341 Fax: 405-425-0313
Mrs. Catherine Blakely Turpin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 S Western Ave Ste 203, Oklahoma City, OK 73139 Phone: 405-601-5616
Cheryl Ann Coy, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3625 Eastman Dr, Oklahoma City, OK 73112 Phone: 405-948-0345
Tiffany Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Nw 10th St, Oklahoma City, OK 73106 Phone: 405-528-4673 Fax: 405-528-4674

Mrs Amber Nichole Sullivan Maxwell, MA LPC - Medicare Counselor in Oklahoma City, OK