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MRS. KENDRA MATHIS LPC
NPI 1407211402
Counselor in Durant, OK

Active since December 18, 2015PECOS EnrolledAccepts Medicare Assignment
2425 W UNIVERSITY BLVD STE 102, DURANT, OK 74701(580) 924-7330(580) 924-7334 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2023, Mar 5, 2020, Dec 18, 2015 (3 updates tracked since 2015).

About Mrs. Kendra Mathis Lpc NPPES

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

MRS. KENDRA MATHIS LPC (NPI 1407211402) is an individual counselor in Durant, Oklahoma and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Durant, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407211402
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KENDRA MATHISCredential: LPC
Location Address2425 W UNIVERSITY BLVD STE 102Durant, OK 74701-2970
Mailing Address107 S High StAntlers, OK 74523-3818 · (580) 298-2830 · Fax (580) 298-6723
Phone(580) 924-7330
Fax(580) 924-7334
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 18, 2015
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1407211402 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.
2425 W UNIVERSITY BLVD STE 102, Durant, OK 74701
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Other Names 1

Former Name (1)Kendra Day Lpc

Secondary Practice Location 1

Location 1128 N 12th AveDurant, OK 74701-4718 · Phone (580) 745-9276 ext. 58029 · Fax (580) 920-9056

Accepted Insurance

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

Mrs. Kendra Mathis 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.

PECOS PAC ID9931559002
PECOS Enrollment IDI20240102002442
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 Kendra Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Behavioral Wellness Centers
44 mi
Community/Behavioral Health
2530 S. COMMERCE, BUILDING A
Ardmore, OK 73401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 93 clinicians in this Medicare group
NPI 1518997097 (580) 223-5070

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.

MARSHELLDRA NACOLE COOK
Peer Specialist
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (809) 247-3305
RAYELYN WHITSON
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
LORI ANN BLACK
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Psychiatry & Neurology (Psychiatry)
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
MORGAN NICOLE GREEN
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 740-4053
MRS. AMANDA JEAN RODGERS BSW
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
DEBRA BISHOP
Behavior Technician
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
EMILY WELLS
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330

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 Kendra Mathis's NPI number?

The NPI number for Kendra Mathis is 1407211402. It was assigned to this individual provider in the NPPES registry on December 18, 2015. The provider is also known as Kendra Day Lpc.

Where is Kendra Mathis located?

Kendra Mathis practices at 2425 W University Blvd Ste 102, Durant, OK 74701. The listed phone number is (580) 924-7330.

What is Kendra Mathis's specialty?

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

Is Kendra Mathis enrolled in Medicare?

Yes. Kendra Mathis 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 organization bills Medicare for Kendra Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Mathis reassigns Medicare benefits to Lighthouse Behavioral Wellness Centers (Ardmore, 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 Kendra Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Mathis accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Kendra Mathis 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 Kendra Mathis was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.