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DUSTY DOVE
NPI 1831547074
Counselor - Mental Health in Claremore, OK

Active since May 27, 2016PECOS Enrolled
12005 E 470 RD, CLAREMORE, OK 74017(918) 342-0770(918) 342-0087 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dusty Dove NPPES

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

DUSTY DOVE (NPI 1831547074) is an individual mental health provider in Claremore, Oklahoma, licensed in Oklahoma (7612) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831547074
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUSTY DOVE
Location Address12005 E 470 RDClaremore, OK 74017-3737
Mailing Address12005 E 470 RdClaremore, OK 74017-3737 · (918) 342-0770 · Fax (918) 342-0087
Phone(918) 342-0770
Fax(918) 342-0087
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1831547074 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 · 7612
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12005 E 470 RD, Claremore, OK 74017
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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, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dusty Dove is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466910773
PECOS Enrollment IDI20260818000396
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 Dusty Dove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center Inc
0.9 mi
Mental Health (Including Community Mental Health Center)
3100 MEDICAL PKWY
Claremore, OK 74017
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1134539141 (918) 342-0770

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.

TIFFANY LANDIS
Counselor (Mental Health)
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 619-2557
KAREN LYNNE JACOBSEN RSS
Peer Specialist
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 342-0070
PAUL DEAN MCFARLAND
Peer Specialist
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 342-0770
MISS CHELSEA ELIZABETH RENEE LAPPE
Case Manager/Care Coordinator
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 342-0770
HELEN PROVOST BSW/MSW
Counselor (Mental Health)
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 374-0770
ALEXANDRA HUBBARD
Case Manager/Care Coordinator
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 342-0770
KARENA BOUDREAUX
Peer Specialist
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 342-0770
MRS. ITRECHIA NARDIA CAMPBELL LPN
Licensed Practical Nurse
12005 E 470 RD
CLAREMORE, OK 74017
Rogers County (918) 273-1841

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 Dusty Dove's NPI number?

The NPI number for Dusty Dove is 1831547074. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Dusty Dove located?

Dusty Dove practices at 12005 E 470 Rd, Claremore, OK 74017. The listed phone number is (918) 342-0770.

What is Dusty Dove's specialty?

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

Is Dusty Dove enrolled in Medicare?

Yes. Dusty Dove is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dusty Dove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dusty Dove reassigns Medicare benefits to Grand Lake Mental Health Center Inc (Claremore, 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 Dusty Dove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dusty Dove accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Dusty Dove 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 Dusty Dove was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.