MR. DESMOND E KETTER LPC
NPI 1194296210
Counselor - Professional in Tulsa, OK
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
Specialties & Licenses
Other Names 1
Accepted Insurance
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Desmond Ketter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74145
- Reassigned Medicare billing, Oklahoma enrollment
Durham, NC 27701
- Reassigned Medicare billing, Oklahoma enrollment
- 45 clinicians in this Medicare group
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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Desmond Ketter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Desmond Ketter reassigns Medicare benefits to 2 organizations: Scripted Mind Inc (Tulsa, OK) and Mental Health Specialty Group PA (Durham, NC). Each 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 Desmond Ketter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Desmond Ketter accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, 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 16 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.
# Mr. Desmond E Ketter, LPC · NPI 1194296210
Professional provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1194296210 (Entity type: Individual)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10952 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 5840 S MEMORIAL DR STE 330, Tulsa, OK 74145-9060
- **Phone:** (918) 200-9830 · **Fax:** (918) 601-8103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Scripted Mind Inc (NPI 1770386203, Tulsa, OK); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194296210) · Data from the CMS NPPES public registry.