MR. DESMOND E KETTER LPC
NPI 1194296210
Counselor - Professional in Tulsa, OK

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
5840 S MEMORIAL DR STE 330, TULSA, OK 74145(918) 200-9830(918) 601-8103 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Feb 7, 2025, Dec 16, 2018 (3 updates tracked since 2018).

About Mr. Desmond E Ketter Lpc NPPES

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

MR. DESMOND E KETTER LPC (NPI 1194296210) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (10952) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2022).

NPPES Registry Identity

NPI1194296210
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DESMOND E KETTERCredential: LPC
Location Address5840 S MEMORIAL DR STE 330Tulsa, OK 74145-9060
Mailing Address3108 S Hemlock CtBroken Arrow, OK 74012-7602 · (918) 645-6064
Fax(918) 601-8103
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2022
Enumeration DateDecember 16, 2018
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1194296210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 10952
5840 S MEMORIAL DR STE 330, Tulsa, OK 74145

Other Names 1

Professional Name (2)Mr. Desmond E Ketter

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 and accepts Medicare assignment

Mr. Desmond E Ketter 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 ID7012426224
PECOS Enrollment IDI20250530001288
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 2

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

Counselor (Mental Health)
5840 S MEMORIAL DR STE 330
TULSA, OK 74145
Case Manager/Care Coordinator
5840 S MEMORIAL DR STE 330
TULSA, OK 74145

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 Desmond Ketter's NPI number?

The NPI number for Desmond Ketter is 1194296210. It was assigned to this individual provider in the NPPES registry on December 16, 2018. The provider is also known as Mr. Desmond E Ketter.

Where is Desmond Ketter located?

Desmond Ketter practices at 5840 S Memorial Dr Ste 330, Tulsa, OK 74145. The listed phone number is (918) 200-9830.

What is Desmond Ketter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Desmond Ketter enrolled in Medicare?

Yes. Desmond Ketter 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.

What insurance does Desmond Ketter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Desmond Ketter 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 Desmond Ketter was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.