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

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: November 01, 2026.

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

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 Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evolution Mental Health Services PLLC
6.3 mi
Mental Health
6931 S 66TH EAST AVE STE 200
Tulsa, OK 74133
  • Reassigned Medicare billing, Oklahoma enrollment
  • 8 clinicians in this Medicare group
NPI 1831714815 (918) 379-4431

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 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)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Tulsa County (918) 379-4431
BRIANNA STINNETT
Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Tulsa County (918) 379-4431
MR. GREGORY MICHAEL SUTMILLER LPC, LADC
Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Tulsa County (918) 379-4431
SHELLY MARIE KENNEDY-GONZALEZ LPC
Counselor (Mental Health)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Tulsa County (918) 379-4431
CHRISTINE ANNA MONTEITH LCSW, LADC/MH
Social Worker (Clinical)
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Tulsa County (918) 379-4431
SAVANAH PEEK LPCC
Counselor
2017 S ELM PL STE 104
BROKEN ARROW, OK 74012
Tulsa County (918) 379-4431

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 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.

Where is Kelli King located?

Kelli King practices at 2017 S Elm Pl Ste 104, Broken Arrow, OK 74012. The listed phone number is (918) 379-4431.

What is Kelli King's specialty?

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

Is Kelli King enrolled in Medicare?

Yes. Kelli King 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 Kelli King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli King reassigns Medicare benefits to Evolution Mental Health Services PLLC (Tulsa, 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 Kelli King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli King accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Oscar Insurance Company and UnitedHealthcare list Kelli King 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 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 9 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.