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MRS. MARY LANE MICKENS
NPI 1265594345
Counselor - Professional in Texarkana, TX

Active since December 14, 2006Opted out of Medicare · through Oct 24, 2027
5221 N PARK RD, TEXARKANA, TX 75503(903) 791-1051(903) 791-1053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Lane Mickens NPPES

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

MRS. MARY LANE MICKENS (NPI 1265594345) is an individual professional provider in Texarkana, Texas, licensed in Texas (19530) and active in the NPI registry since December 2006. She has opted out of Medicare through October 24, 2027.

NPPES Registry Identity

NPI1265594345
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY LANE MICKENS
Location Address5221 N PARK RDTexarkana, TX 75503-2664
Mailing Address30 Sherry RdgTexarkana, TX 75501-2040 · (903) 277-4887
Phone(903) 791-1051
Fax(903) 791-1053
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265594345 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 TX · 19530
5221 N PARK RD, Texarkana, TX 75503
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mrs. Mary Smith Mickens Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Mary Lane Mickens has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 24, 2025 through October 24, 2027.

Opt-Out Effective DateOctober 24, 2025
Opt-Out In Effect ThroughOctober 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

MS. MARGARET (PEGGY) REGAN WRIGHT L.P.C.
Counselor (Professional)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051
BRENDA JOYCE YATES MS, LPC
Counselor (Professional)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051
JENNIFER KERN MS, LPC
Counselor (Professional)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 824-2050
ALISON KUNEFKE MASHBURN, LPC, PA
Counselor (Professional)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051
MYRA LOVING MS, LPC
Counselor (Mental Health)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051
CAROL K RACHEOTES
Counselor (Mental Health)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051
SAMANTHA BURZYNSKI
Counselor (Professional)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051
GRACE MCCAULEY LCSW
Social Worker (Clinical)
5221 N PARK RD
TEXARKANA, TX 75503
Bowie County (903) 791-1051

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 Mary Mickens's NPI number?

The NPI number for Mary Mickens is 1265594345. It was assigned to this individual provider in the NPPES registry on December 14, 2006. The provider is also known as Mrs. Mary Smith Mickens Lpc.

Where is Mary Mickens located?

Mary Mickens practices at 5221 N Park Rd, Texarkana, TX 75503. The listed phone number is (903) 791-1051.

What is Mary Mickens's specialty?

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

Is Mary Mickens enrolled in Medicare?

No. Mary Mickens has opted out of Medicare through October 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mary Mickens accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage and Octave list Mary Mickens 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 Mary Mickens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.