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DESTINY LYN ELLIS LPC-S
NPI 1790205094
Counselor in Owasso, OK

Active since June 27, 2017PECOS Enrolled
8551 N 125TH EAST AVE STE 250, OWASSO, OK 74055(918) 760-5243 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 7, 2026, Jan 26, 2026, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Destiny Lyn Ellis Lpc-s NPPES

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

DESTINY LYN ELLIS LPC-S (NPI 1790205094) is an individual counselor in Owasso, Oklahoma, licensed in Oklahoma (10335) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790205094
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDESTINY LYN ELLISCredential: LPC-S
Location Address8551 N 125TH EAST AVE STE 250Owasso, OK 74055-2160
Mailing Address15031 S 4060 RdOologah, OK 74053-3737 · (918) 728-9516
Phone(918) 760-5243
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2017
Last NPPES UpdateApril 7, 20265 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1790205094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 10335
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8551 N 125TH EAST AVE STE 250, Owasso, OK 74055
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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, Medica, Mending Health 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 (PECOS)

Destiny Lyn Ellis Lpc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850814583
PECOS Enrollment IDI20250402003346
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

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

GERIATRIC ADVANCED PREVENTIVE SERVICES
Clinic/Center (Family Planning, Non-Surgical)
8551 N 125TH EAST AVE STE 250
OWASSO, OK 74055
Tulsa County (855) 505-4277

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 Destiny Ellis's NPI number?

The NPI number for Destiny Ellis is 1790205094. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Destiny Ellis located?

Destiny Ellis practices at 8551 N 125th East Ave Ste 250, Owasso, OK 74055. The listed phone number is (918) 760-5243.

What is Destiny Ellis's specialty?

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

Is Destiny Ellis enrolled in Medicare?

Yes. Destiny Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Destiny Ellis accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Destiny Ellis 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 Destiny Ellis was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.