MICHAEL BRUCE ETZLER
NPI 1104163773
Counselor - Mental Health in Edmond, OK

Active since January 15, 2013PECOS Enrolled
1218 E 9TH ST STE 4, EDMOND, OK 73034(405) 476-5826 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Bruce Etzler NPPES

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

MICHAEL BRUCE ETZLER (NPI 1104163773) is an individual mental health provider in Edmond, Oklahoma and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104163773
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL BRUCE ETZLER
Location Address1218 E 9TH ST STE 4Edmond, OK 73034-5796
Mailing Address3905 Spring Hill DrEdmond, OK 73013-6929 · (405) 476-5826
Sole ProprietorYes
Enumeration DateJanuary 15, 2013
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1104163773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1218 E 9TH ST STE 4, Edmond, OK 73034

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Bruce Etzler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

Counselor (Professional)
1218 E 9TH ST STE 4
EDMOND, OK 73034
Counselor (Mental Health)
1218 E 9TH ST STE 4
EDMOND, OK 73034
Registered Nurse (Psychiatric/Mental Health)
1218 E 9TH ST STE 4
EDMOND, OK 73034
Counselor (Mental Health)
1218 E 9TH ST STE 4
EDMOND, OK 73034
Clinic/Center (Mental Health (Including Community Mental Health Center))
1218 E 9TH ST STE 4
EDMOND, OK 73034

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 Michael Etzler's NPI number?

The NPI number for Michael Etzler is 1104163773. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Michael Etzler located?

Michael Etzler practices at 1218 E 9th St Ste 4, Edmond, OK 73034. The listed phone number is (405) 476-5826.

What is Michael Etzler's specialty?

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

Is Michael Etzler enrolled in Medicare?

Yes. Michael Etzler is registered in the Medicare PECOS enrollment system.

What insurance does Michael Etzler accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Michael Etzler 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 Michael Etzler was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.