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MYLINDA RENEE FANJ M.S., LPC (US)
NPI 1255617015
Counselor - Professional in Wagoner, OK

Active since October 25, 2011PECOS Enrolled
109 S HARRILL AVE, WAGONER, OK 74467(918) 485-3554 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mylinda Renee Fanj M.s., Lpc (us) NPPES

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

MYLINDA RENEE FANJ M.S., LPC (US) (NPI 1255617015) is an individual professional provider in Wagoner, Oklahoma, licensed in Oklahoma ((US) 966) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255617015
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMYLINDA RENEE FANJCredential: M.S., LPC (US)
Location Address109 S HARRILL AVEWagoner, OK 74467-5317
Mailing Address109 S Harrill AveWagoner, OK 74467-5317 · (918) 485-3554
Phone(918) 485-3554
Sole ProprietorNo
Enumeration DateOctober 25, 2011
✔ NPI 1255617015 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 · (US) 966
109 S HARRILL AVE, Wagoner, OK 74467
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mylinda Renee Fanj M.s., Lpc (us) 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.

Medicare Billing Reassignment

Medicare enrollment records show Mylinda Fanj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Pathways Unlimited Inc
128 mi
Clinical
4045 NW 64TH ST, STE 520
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 99 clinicians in this Medicare group
NPI 1659328284 (405) 842-4911

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.

DAYNA APPLEGATE
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
AMBER ROSE VANDUSEN
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
MADISON M MEDLOCK
Counselor
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
GARRETTE LEE MCCLURE M.S.
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
LORI KIM CHILDS LMSW-P
Social Worker (Clinical)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
TAREK SLEEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CRUZ RONDON
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CREOKS MENTAL HEALTH SERVICES
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 382-7300

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 Mylinda Fanj's NPI number?

The NPI number for Mylinda Fanj is 1255617015. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Where is Mylinda Fanj located?

Mylinda Fanj practices at 109 S Harrill Ave, Wagoner, OK 74467. The listed phone number is (918) 485-3554.

What is Mylinda Fanj's specialty?

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

Is Mylinda Fanj enrolled in Medicare?

Yes. Mylinda Fanj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mylinda Fanj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mylinda Fanj reassigns Medicare benefits to Community Pathways Unlimited Inc (Oklahoma City, 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 Mylinda Fanj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mylinda Fanj 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 2 other insurers list Mylinda Fanj 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 Mylinda Fanj was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.