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MR. EVERETT EMORY MITCHELL LPC
NPI 1093016461
Counselor - Mental Health in Miami, OK

Active since November 16, 2010PECOS EnrolledAccepts Medicare Assignment
7600 S HIGHWAY 69A, MIAMI, OK 74354(918) 332-4390(918) 332-4424 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Everett Emory Mitchell Lpc NPPES

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

MR. EVERETT EMORY MITCHELL LPC (NPI 1093016461) is an individual mental health provider in Miami, Oklahoma and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1093016461
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EVERETT EMORY MITCHELLCredential: LPC
Location Address7600 S HIGHWAY 69AMiami, OK 74354-1016
Mailing Address7600 S Highway 69a, P.o. Box 1498Miami, OK 74354-1016 · (918) 332-4390 · Fax (918) 332-4424
Phone(918) 332-4390
Fax(918) 332-4424
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 16, 2010
Last NPPES UpdateDecember 20, 2024
✔ NPI 1093016461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7600 S HIGHWAY 69A, Miami, OK 74354
Open in Google Maps ↗

Other Identifiers 1

Medicaid200393260OK

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

Mr. Everett Emory 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 ID8022468735
PECOS Enrollment IDI20240429001533
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 Everett Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern Tribal Health System
Same address
Clinic/Center
7600 S HIGHWAY 69A
Miami, OK 74354
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1871522532 (918) 542-1655

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.

TONYA LYNN OLSEN RN
Registered Nurse
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
MRS. KARA JEAN KINSEY P.T.
Physical Therapist
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 332-4398
LANCE DALE LITTLEJOHN
Case Manager/Care Coordinator
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
CHANNA LEE MORTON REGISTERED DIETICIAN
Dietitian, Registered
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
KIMBERLEE ANN CHUCULATE
Respiratory Therapist, Registered (General Care)
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
KYLEE GRAHAM RN
Registered Nurse
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
JESSICA ROSS DENTAL HYGIENIST
Dental Hygienist
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655
CAROL ANN DEMOND ARNP
Nurse Practitioner (Family)
7600 S HIGHWAY 69A
MIAMI, OK 74354
Ottawa County (918) 542-1655

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 Everett Mitchell's NPI number?

The NPI number for Everett Mitchell is 1093016461. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Everett Mitchell located?

Everett Mitchell practices at 7600 S Highway 69A, Miami, OK 74354. The listed phone number is (918) 332-4390.

What is Everett Mitchell's specialty?

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

Is Everett Mitchell enrolled in Medicare?

Yes. Everett 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 Everett Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Everett Mitchell reassigns Medicare benefits to Northeastern Tribal Health System (Miami, 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 Everett Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Everett Mitchell was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.