MRS. LYNLY D. GRIDER LPC
NPI 1417639600
Counselor - Mental Health in Mustang, OK
About Mrs. Lynly D. Grider Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LYNLY D. GRIDER LPC (NPI 1417639600) is an individual mental health provider in Mustang, Oklahoma, licensed in Oklahoma (12264) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Mrs. Lynly D. Grider Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lynly Grider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shawnee, OK 74801
- Reassigned Medicare billing, Oklahoma enrollment
- 77 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lynly Grider's NPI number?
The NPI number for Lynly Grider is 1417639600. It was assigned to this individual provider in the NPPES registry on August 7, 2023.
Where is Lynly Grider located?
Lynly Grider practices at 501 N Mustang Rd Ste E, Mustang, OK 73064. The listed phone number is (405) 256-8141.
What is Lynly Grider's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lynly Grider enrolled in Medicare?
Yes. Lynly Grider is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lynly Grider's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lynly Grider reassigns Medicare benefits to Creoks Mental Health Services (Shawnee, 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 Lynly Grider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lynly Grider accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Oscar Insurance Company list Lynly Grider 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 Lynly Grider was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Lynly D. Grider, LPC · NPI 1417639600
Mental Health provider in Mustang, Oklahoma. Individual provider, active in the CMS NPPES registry since August 7, 2023.
## Identity
- **NPI:** 1417639600 (Entity type: Individual)
- **Enumerated:** August 7, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12264 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 N MUSTANG RD STE E, Mustang, OK 73064-7044
- **Phone:** (405) 256-8141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Creoks Mental Health Services (NPI 1730452459, Shawnee, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1417639600) · Data from the CMS NPPES public registry.