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ELIZABETH BUCHANAN
NPI 1083359541
Counselor - Mental Health in Jay, OK

Active since April 29, 2022PECOS Enrolled
1015 W WASHBOURNE ST, JAY, OK 74346(918) 308-5513 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Apr 29, 2022 (2 updates tracked since 2022).

About Elizabeth Buchanan NPPES

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

ELIZABETH BUCHANAN (NPI 1083359541) is an individual mental health provider in Jay, Oklahoma, licensed in Oklahoma (LPCCANDIDATE12135) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083359541
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH BUCHANAN
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address1015 W Washbourne StJay, OK 74346-4205
Phone(918) 308-5513
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 29, 2022
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1083359541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · LPCCANDIDATE12135
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1015 W WASHBOURNE ST, Jay, OK 74346
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Buchanan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759853450
PECOS Enrollment IDI20260613000175
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 Elizabeth Buchanan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
1015 W WASHBOURNE ST
Jay, OK 74346
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1255979415 (918) 308-5513

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

Other Providers at the Same Location NPPES 20

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

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ANDREW C WICKLINE
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 868-7489
MRS. KRISTEN LEANN BOLDRA
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696
JULIE ZEILER
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100

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 Elizabeth Buchanan's NPI number?

The NPI number for Elizabeth Buchanan is 1083359541. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Elizabeth Buchanan located?

Elizabeth Buchanan practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (918) 308-5513.

What is Elizabeth Buchanan's specialty?

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

Is Elizabeth Buchanan enrolled in Medicare?

Yes. Elizabeth Buchanan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Buchanan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Buchanan reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Jay, 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 Elizabeth Buchanan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Buchanan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Elizabeth Buchanan 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 Elizabeth Buchanan was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.