STACY LYNN MITCHELL LPC
NPI 1043871213
Counselor - Mental Health in Broken Arrow, OK

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
2035 W. HOUSON ST., SUITE A, BROKEN ARROW, OK 74012(918) 836-0239 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stacy Lynn Mitchell Lpc NPPES

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

STACY LYNN MITCHELL LPC (NPI 1043871213) is an individual mental health provider in Broken Arrow, Oklahoma, licensed in Oklahoma (6880) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043871213
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY LYNN MITCHELLCredential: LPC
Location Address2035 W. HOUSON ST., SUITE ABroken Arrow, OK 74012
Mailing Address2035 W Houston St Ste ABroken Arrow, OK 74012-8792 · (918) 836-0239
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2019
✔ NPI 1043871213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 6880
2035 W. HOUSON ST., Broken Arrow, OK 74012

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Lynn Mitchell Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193131225
PECOS Enrollment IDI20240304001957
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
3300 S ASPEN AVE STE D
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 7 clinicians in this Medicare group

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 Stacy Mitchell's NPI number?

The NPI number for Stacy Mitchell is 1043871213. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Stacy Mitchell located?

Stacy Mitchell practices at 2035 W. Houson St. Suite A, Broken Arrow, OK 74012. The listed phone number is (918) 836-0239.

What is Stacy Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stacy Mitchell enrolled in Medicare?

Yes. Stacy Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stacy Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Mitchell reassigns Medicare benefits to Choose Courage Counseling Services PLLC (Broken Arrow, OK). The 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 Stacy Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Mitchell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Stacy Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Mitchell was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.