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

Q: 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.

Q: What is Kendra Mathis'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 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 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 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: August 09, 2026.

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

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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, Medica, Oscar Insurance Company.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

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.

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