SUMMER ANN MINOR LPC-C
NPI 1275395998
Counselor - Mental Health in Broken Arrow, OK

Active since January 29, 2024PECOS Enrolled
2017 S ELM PL STE 104, BROKEN ARROW, OK 74012(918) 379-4431(918) 328-2380 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2025, Sep 8, 2025 (2 updates tracked since 2025).

About Summer Ann Minor Lpc-c NPPES

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

SUMMER ANN MINOR LPC-C (NPI 1275395998) is an individual mental health provider in Broken Arrow, Oklahoma, licensed in Oklahoma (11011) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1275395998
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUMMER ANN MINORCredential: LPC-C
Location Address2017 S ELM PL STE 104Broken Arrow, OK 74012-7034
Mailing Address6931 S 66th East Ave Ste 200Tulsa, OK 74133-1765 · (918) 379-4431 · Fax (918) 328-2380
Fax(918) 328-2380
Sole ProprietorNo
Enumeration DateJanuary 29, 2024
Last NPPES UpdateNovember 8, 20252 updates tracked since enumeration
NPPES CertifiedNovember 8, 2025
✔ NPI 1275395998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 11011
2017 S ELM PL STE 104, Broken Arrow, OK 74012

Secondary Practice Location 1

Location 16931 S 66th East Ave Ste 200Tulsa, OK 74133-1765 · Phone (918) 379-4431 · Fax (918) 328-2380

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summer Ann Minor Lpc-c 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 Summer Minor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
6931 S 66TH EAST AVE STE 200
Tulsa, OK 74133
  • Reassigned Medicare billing, Oklahoma enrollment
  • 8 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 6

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

Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Social Worker (Clinical)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Counselor
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012

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 Summer Minor's NPI number?

The NPI number for Summer Minor is 1275395998. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Summer Minor located?

Summer Minor practices at 2017 S Elm Pl Ste 104, Broken Arrow, OK 74012. The listed phone number is (918) 379-4431.

What is Summer Minor's specialty?

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

Is Summer Minor enrolled in Medicare?

Yes. Summer Minor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Summer Minor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Minor reassigns Medicare benefits to Evolution Mental Health Services PLLC (Tulsa, 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 Summer Minor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summer Minor accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Medica list Summer Minor 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 Summer Minor was last updated on November 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.