AMY MALIN
NPI 1396024774
Counselor in Broken Arrow, OK

Q: What is Amy Malin's NPI number?

The NPI number for Amy Malin is 1396024774. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Q: What is Amy Malin's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Malin was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment

8937 S GARNETT RD, BROKEN ARROW, OK 74012(918) 872-9777(918) 872-9779 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amy Malin NPPES

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

AMY MALIN (NPI 1396024774) is an individual counselor in Broken Arrow, Oklahoma and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396024774

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMY MALIN

Location Address8937 S GARNETT RDBroken Arrow, OK 74012-6018

Mailing Address6301 E 41st StTulsa, OK 74135-6103 · (918) 289-0550

Phone(918) 872-9777

Fax(918) 872-9779

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 16, 2011

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1396024774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

8937 S GARNETT RD, Broken Arrow, OK 74012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.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

Amy Malin 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 ID4688108210

PECOS Enrollment IDI20241105002915

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 11

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

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