OKLAHOMA MENTAL HEALTH COLLECTIVE
NPI 1033790142
Counselor - Professional in Eakly, OK

Active since April 20, 2021
435 W. MAIN STREET, EAKLY, OK 73033(405) 323-0548 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2023, Nov 8, 2023, Apr 20, 2021 (3 updates tracked since 2021).

About Oklahoma Mental Health Collective NPPES

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

OKLAHOMA MENTAL HEALTH COLLECTIVE (NPI 1033790142) is a healthcare organization registered as a professional in Eakly, Oklahoma and active in the NPI registry since April 2021. The organization lists Justin Robert Doty, Owner, as its authorized official.

NPPES Registry Identity

NPI1033790142
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameOKLAHOMA MENTAL HEALTH COLLECTIVE
Location Address435 W. MAIN STREETEakly, OK 73033
Mailing AddressPo Box 185Eakly, OK 73033-0185 · (405) 323-0548
Organization SubpartNo
Authorized OfficialJustin Robert DotyOwner · (405) 323-0548
Enumeration DateApril 20, 2021
Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1033790142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
435 W. MAIN STREET, Eakly, OK 73033

Other Identifiers 1

Medicaid1780694778OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oklahoma Mental Health Collective is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Oklahoma Mental Health Collective, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1780694778
435 W. MAIN STREET
Eakly, OK 73033
(405) 542-7263
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1831565076
11748 N 2420 RD
Colony, OK 73021
(580) 302-2425
✔ PECOS✔ Accepts Medicare6.5 mi
Mental Health Counselor
NPI 1033794110
620 NW 5TH ST STE D
Moore, OK 73160
(405) 208-4469
✔ PECOS60 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oklahoma Mental Health Collective's NPI number?

The NPI number for Oklahoma Mental Health Collective is 1033790142. It was assigned to this organization in the NPPES registry on April 20, 2021.

Where is Oklahoma Mental Health Collective located?

Oklahoma Mental Health Collective is located at 435 W. Main Street, Eakly, OK 73033. The listed phone number is (405) 323-0548.

What is Oklahoma Mental Health Collective's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Oklahoma Mental Health Collective enrolled in Medicare?

Yes. Oklahoma Mental Health Collective is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oklahoma Mental Health Collective?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Oklahoma Mental Health Collective. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oklahoma Mental Health Collective was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.