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LARRY DEVON GANTT LCPC
NPI 1437433067
Counselor in Miami, OK

Active since September 30, 2011PECOS EnrolledAccepts Medicare Assignment
111 S TREATY RD, MIAMI, OK 74354(918) 540-1511(918) 542-7374 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Larry Devon Gantt Lcpc NPPES

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

LARRY DEVON GANTT LCPC (NPI 1437433067) is an individual counselor in Miami, Oklahoma and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1437433067
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameLARRY DEVON GANTTCredential: LCPC
Location Address111 S TREATY RDMiami, OK 74354-5327
Mailing Address114 W Delware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 540-1511
Fax(918) 542-7374
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 30, 2011
Last NPPES UpdateOctober 12, 2015
✔ NPI 1437433067 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.
111 S TREATY RD, Miami, OK 74354
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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.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

Larry Devon Gantt Lcpc 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 ID5395196240
PECOS Enrollment IDI20240104004483
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 Larry Gantt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
0.2 mi
Mental Health (Including Community Mental Health Center)
111 S TREATY RD
Miami, OK 74354
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1497762520 (918) 540-1511

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.

NINA SHORT
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
JOHN KLENKE LPC-C
Counselor (Mental Health)
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 592-8614
BRANDON ALLAN MAPLES
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KASEY NICOLE KING
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 260-9546
CAROLINE JONES
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TIMOTHY HUNTER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KAREN LEE FEATHER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TERRY DEE ANN WILSON
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511

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 Larry Gantt's NPI number?

The NPI number for Larry Gantt is 1437433067. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Larry Gantt located?

Larry Gantt practices at 111 S Treaty Rd, Miami, OK 74354. The listed phone number is (918) 540-1511.

What is Larry Gantt's specialty?

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

Is Larry Gantt enrolled in Medicare?

Yes. Larry Gantt 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 Larry Gantt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Gantt reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Miami, 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 Larry Gantt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Gantt accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Larry Gantt 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 Larry Gantt was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.