Stacy Lynn Mitchell, LPC in Broken Arrow, OK - Medicare Counselor Provider

Stacy Lynn Mitchell, LPC is a medicare enrolled "Counselor - Mental Health" provider in Broken Arrow, Oklahoma. Her current practice location is 2035 W. Houson St., Suite A, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 836-0239.

Stacy Lynn Mitchell is licensed to practice in Oklahoma (license number 6880) 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 1043871213.

Contact Information

	Stacy Lynn Mitchell, LPC
	2035 W. Houson St., Suite A, Broken Arrow, OK 74012
	(918) 836-0239
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Lynn Mitchell
Gender	Female
Speciality	Counselor - Mental Health
Location	2035 W. Houson St., Broken Arrow, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043871213
Provider Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019

Medicare PECOS Information:

PECOS PAC ID: 5193131225
Enrollment ID: I20240304001957

Medical Identifiers

Medical identifiers for Stacy Lynn Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043871213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6880 (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. Stacy Lynn Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Choose Courage Counseling Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528631314 PECOS PAC ID: 3577936863 Enrollment ID: O20230308000076

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. Stacy Lynn Mitchell 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
Stacy Lynn Mitchell, LPC 2035 W Houston St Ste A, Broken Arrow, OK 74012-8792 Ph: (918) 836-0239	Stacy Lynn Mitchell, LPC 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 Ph: (918) 836-0239

Reviews and Comments

Counselor in Broken Arrow, OK

Miss Ashley R Wale, MHR ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3112 S Nyssa Ave, Broken Arrow, OK 74012 Phone: 918-813-6684
Ms. Edwyna Warrior Walker, BSED MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 N 7th St, Apt. 1214, Broken Arrow, OK 74012 Phone: 918-869-8200
Katherine Silvey Bates, MCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-615-6620
Robin Lynn Mayo, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-280-9104 Fax: 918-609-2850
Fady Srour, M.A, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19426 E 49th St S, Broken Arrow, OK 74014 Phone: 918-355-4253
Lorena I Salas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19915 E 37th St S, Broken Arrow, OK 74014 Phone: 918-313-5304
Jessica Turner Grier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2548 E Kenosha St, Broken Arrow, OK 74014 Phone: 918-355-0993

Stacy Lynn Mitchell, LPC - Medicare Counselor in Broken Arrow, OK