ELIZABETH MOORE MIZE
NPI 1770029472
Counselor - Mental Health in Wynnewood, OK

Active since January 18, 2017PECOS Enrolled
202 S WASHITA AVE, WYNNEWOOD, OK 73098(405) 665-4385(405) 665-6396 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, Mar 23, 2026, Feb 20, 2025 and 2 more (5 updates tracked since 2017).

About Elizabeth Moore Mize NPPES

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

ELIZABETH MOORE MIZE (NPI 1770029472) is an individual mental health provider in Wynnewood, Oklahoma, licensed in Oklahoma (11224) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770029472
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH MOORE MIZE
Location Address202 S WASHITA AVEWynnewood, OK 73098-7820
Mailing Address3012 E 2110 RdHugo, OK 74743-4522 · (918) 443-7063
Fax(405) 665-6396
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 18, 2017
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1770029472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 11224
Also ListedCounselorTaxonomy 101Y00000X · License 11224 (OK)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
202 S WASHITA AVE, Wynnewood, OK 73098

Secondary Practice Locations 3

Location 13000 United Founders BlvdOklahoma City, OK 73112-3958 · Phone (405) 842-8396
Location 2101 W 5th StWright City, OK 74766 · Phone (918) 443-7063
Location 31313 N 16th AveDurant, OK 74701-2134 · Phone (580) 634-2332

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Moore Mize is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496229411
PECOS Enrollment IDI20260630005377
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 Elizabeth Mize reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1313 N 16TH
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 11 clinicians in this Medicare group

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.

Marriage & Family Therapist
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Case Manager/Care Coordinator
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Counselor
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Counselor (Mental Health)
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Counselor (Mental Health)
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Case Manager/Care Coordinator
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Counselor (Professional)
202 S WASHITA AVE
WYNNEWOOD, OK 73098
Behavior Analyst
202 S WASHITA AVE
WYNNEWOOD, OK 73098

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 Elizabeth Mize's NPI number?

The NPI number for Elizabeth Mize is 1770029472. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Elizabeth Mize located?

Elizabeth Mize practices at 202 S Washita Ave, Wynnewood, OK 73098. The listed phone number is (405) 665-4385.

What is Elizabeth Mize's specialty?

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

Is Elizabeth Mize enrolled in Medicare?

Yes. Elizabeth Mize is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Mize's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mize reassigns Medicare benefits to Nsight For Life LLC (Durant, 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 Elizabeth Mize's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Mize accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company and UnitedHealthcare list Elizabeth Mize 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 Elizabeth Mize was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.