KELLI LEE KING LPC, LADC
NPI 1497978555
Counselor - Mental Health in Broken Arrow, OK

Q: What is Kelli King's NPI number?

The NPI number for Kelli King is 1497978555. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Kelli King's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelli King was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment

2017 S ELM PL STE 104, BROKEN ARROW, OK 74012(918) 379-4431(918) 328-2380 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2026, Nov 8, 2025, Sep 8, 2025 and 1 more (4 updates tracked since 2025).

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About Kelli Lee King Lpc, Ladc NPPES

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

KELLI LEE KING LPC, LADC (NPI 1497978555) is an individual mental health provider in Broken Arrow, Oklahoma, licensed in Oklahoma (3406) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497978555

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLI LEE KINGCredential: LPC, LADC

Location Address2017 S ELM PL STE 104Broken Arrow, OK 74012-7034

Mailing Address6931 S 66th East Ave Ste 200Tulsa, OK 74133-1765 · (918) 379-4431 · Fax (918) 328-2380

Phone(918) 379-4431

Fax(918) 328-2380

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 10, 2007

Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1497978555 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 · 3406

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 205 (OK)

2017 S ELM PL STE 104, Broken Arrow, OK 74012

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Secondary Practice Location 1

Location 16931 S 66th East Ave Ste 200Tulsa, OK 74133-1765 · Phone (918) 379-4431 · Fax (918) 328-2380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health, Oscar Insurance Company and more.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

Kelli Lee King Lpc, Ladc 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 ID3375070527

PECOS Enrollment IDI20241230000769

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 6

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

SUMMER ANN MINOR LPC-C

Counselor (Mental Health)