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MRS. LYNLY D. GRIDER LPC
NPI 1417639600
Counselor - Mental Health in Mustang, OK

Active since August 07, 2023PECOS Enrolled
501 N MUSTANG RD STE E, MUSTANG, OK 73064(405) 256-8141 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2026, May 8, 2026, Aug 7, 2023 (3 updates tracked since 2023).

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 and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417639600
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LYNLY D. GRIDERCredential: LPC
Location Address501 N MUSTANG RD STE EMustang, OK 73064-7044
Mailing Address314 N Jasper WayMustang, OK 73064-2053 · (405) 990-5590
Phone(405) 256-8141
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2023
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1417639600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 12264
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
501 N MUSTANG RD STE E, Mustang, OK 73064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lynly D. Grider Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527537323
PECOS Enrollment IDI20260520003031
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

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

JENNIFER ANN HARRIS LPC
Counselor (Professional)
501 N MUSTANG RD STE E
MUSTANG, OK 73064
Canadian County (405) 806-0089

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.

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 3 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.