MS. KELIS AYN WHISENHUNT MA, LPC, CADC
NPI 1750595864
Counselor - Professional in Maud, OK

Active since May 09, 2007PECOS Enrolled
32108 HWY 59, MAUD, OK 74854(405) 374-1225(866) 202-3530 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelis Ayn Whisenhunt Ma, Lpc, Cadc NPPES

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

MS. KELIS AYN WHISENHUNT MA, LPC, CADC (NPI 1750595864) is an individual professional provider in Maud, Oklahoma, licensed in Oklahoma (6952) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valliant.

NPPES Registry Identity

NPI1750595864
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KELIS AYN WHISENHUNTCredential: MA, LPC, CADC
Location Address32108 HWY 59Maud, OK 74854
Mailing AddressPo Box 8Maud, OK 74854-0008 · (405) 374-1225 · Fax (866) 201-3530
Fax(866) 202-3530
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateMay 19, 2022
NPPES CertifiedMay 4, 2022
NPI 1750595864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 6952
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 362 (OK)
32108 HWY 59, Maud, OK 74854

Secondary Practice Location 1

Location 1300 N. Dalton AVEValliant, OK 74764 · Phone (580) 933-7031 · Fax (580) 933-7034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kelis Ayn Whisenhunt Ma, Lpc, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kelis Whisenhunt's NPI number?

The NPI number for Kelis Whisenhunt is 1750595864. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Kelis Whisenhunt located?

Kelis Whisenhunt practices at 32108 Hwy 59, Maud, OK 74854. The listed phone number is (405) 374-1225.

What is Kelis Whisenhunt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelis Whisenhunt enrolled in Medicare?

Yes. Kelis Whisenhunt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelis Whisenhunt was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.