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MR. KEVIN ERNEST MELLENCAMP M.S. LPC
NPI 1033423389
Counselor in Lawton, OK

Active since July 28, 2010
1320 NW HOMESTEAD DR STE G, LAWTON, OK 73505(580) 355-8883(580) 355-8885 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Ernest Mellencamp M.s. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN ERNEST MELLENCAMP M.S. LPC (NPI 1033423389) is an individual counselor in Lawton, Oklahoma, licensed in Oklahoma (4005) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1033423389
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KEVIN ERNEST MELLENCAMPCredential: M.S. LPC
Location Address1320 NW HOMESTEAD DR STE GLawton, OK 73505-5243
Mailing Address1320 Nw Homestead Dr Ste GLawton, OK 73505-5243 · (580) 355-8883 · Fax (580) 355-8885
Phone(580) 355-8883
Fax(580) 355-8885
Sole ProprietorNo
Enumeration DateJuly 28, 2010
✔ NPI 1033423389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 4005
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1320 NW HOMESTEAD DR STE G, Lawton, OK 73505
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA ANN PARKER
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (323) 237-6783
PAUL ANTHONY SAENZ
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 477-4605
MR. DAKOTA JAY JOHNSTONE
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 477-4605
MR. CODY RYAN BLAIR BHCM 2, MA, MAT
Case Manager/Care Coordinator
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 951-2257
NACONA ELIZABETH COLBERT
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 477-4605
JUSTIN SNUKS OWENS
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 477-4605
BEAUX GRANT KETCHUM
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 477-4605
MRS. ELIZABETH LYDIA WILLIAMS
Peer Specialist
1320 NW HOMESTEAD DR STE G
LAWTON, OK 73505
Comanche County (714) 477-4605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mellencamp's NPI number?

The NPI number for Kevin Mellencamp is 1033423389. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Kevin Mellencamp located?

Kevin Mellencamp practices at 1320 NW Homestead Dr Ste G, Lawton, OK 73505. The listed phone number is (580) 355-8883.

What is Kevin Mellencamp's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kevin Mellencamp was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.