IndividualActiveMedicare EnrolledCan Order/Refer

Destiny Lyn Ellis

LPC

Counselor

NPI: 1790205094Oologah, Oklahoma, 74053(918) 695-2059Female

About Destiny Lyn Ellis

Destiny Lyn Ellis, LPC, is a female healthcare professional specializing in Counselor, registered under National Provider Identifier (NPI) number 1790205094. Destiny Lyn Ellis received her medical education at OTHER, graduating in 2019.

Their primary practice is located at 12834 OLD U.S. 169, Oologah, Oklahoma 74053. Patients can reach the office at (918) 695-2059. Destiny Lyn Ellis is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Destiny Lyn Ellis has been NPI-registered since 2017.

Key Metrics

Practice Locations

Doctor Details

Identity & Credentials

NPI Number: 1790205094
Entity Type: Individual
First Name: Destiny
Last Name: Ellis
Credential: LPC
Gender: Female
Medical School: OTHER
Graduation Year: 2019
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 12834 OLD U.S. 169
City: Oologah
State: Oklahoma
ZIP: 74053
Country: United States
Phone: (918) 695-2059
Fax: (918) 221-7975

Specialty & Taxonomy

Primary Specialty: Counselor
Classification: Counselor
Taxonomy Code: 101Y00000X

NPI Registration

Enumeration Date: Jun 27, 2017
Last Updated: Jul 21, 2022
Certification Date: Oct 19, 2021

Mailing Address

Address: 8306 E HIGHWAY 88
City: OOLOGAH
State: OK
ZIP: 740536396

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Destiny Lyn Ellis's NPI number?

Destiny Lyn Ellis's National Provider Identifier (NPI) is 1790205094. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Destiny Lyn Ellis specialize in?

Destiny Lyn Ellis specializes in Counselor. They received their medical education at OTHER (class of 2019).

Where is Destiny Lyn Ellis located?

Destiny Lyn Ellis practices at 12834 OLD U.S. 169, Oologah, Oklahoma 74053. You can reach them by phone at (918) 695-2059.

Does Destiny Lyn Ellis accept Medicare?

Yes, Destiny Lyn Ellis is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Destiny Lyn Ellis offer telehealth or virtual visits?

Destiny Lyn Ellis does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Destiny Lyn Ellis is 1790205094.