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

Q: 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.

Q: What is Everett Mitchell's specialty?

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

Q: 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 19 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.

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: August 09, 2026.

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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

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Other Identifiers 1

Medicaid200393260OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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