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Kendra Mathis , LPC

Counselor β€’ Durant, OK

Active NPI 1407211402 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2425 W University Blvd Ste 102
Durant, OK 747012970

Call 5809247330 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2425 W University Blvd Ste 102

Durant, OK 747012970

Telephone 5809247330
Fax 5809247334
Organization at the Same NPPES Address or Phone
Lighthouse Behavioral Wellness Centers Facility NPI 1427104546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Durant, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Lighthouse Behavioral Wellness Centers. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kendra Mathis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kendra Mathis as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Durant and Oklahoma

68 active clinicians are listed under Counselor with a practice address in Durant, OK (4,434 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Durant

1.5% of these 68 clinicians have the CMS telehealth indicator.

11.8% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240102002442

Enrollment State Jurisdiction

OK

PECOS Control ID

9931559002

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lighthouse Behavioral Wellness Centers

1001 W Main St, Durant, OK 747015038

Phone: 5809247330

Secondary Practice Locations

128 N 12th Ave

Durant, OK 747014718

Phone: 5807459276

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location August 21, 2023

Registered at 2425 W UNIVERSITY BLVD STE 102, DURANT, OK 747012970 (Tel: 5809247330)

πŸ‘€
Provider Name / Credentials Updated August 21, 2023

Recorded as KENDRA MATHIS, LPC

πŸ“
Updated Practice Location March 05, 2020

Registered at 128 N 12TH AVE, DURANT, OK 747014718 (Tel: 5807459276)

πŸ“
Updated Business Mailing Address March 05, 2020

Registered at 107 S HIGH ST, ANTLERS, OK 745233818 (Tel: 5802982830)

πŸ‘€
Provider Name / Credentials Updated March 05, 2020

Recorded as KENDRA MATHIS, LPC /UNDER SUP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Counselor

βœ…
NPI Profile Active December 18, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 18, 2015

Registered at 1318 DENISON ST, DURANT, OK 747012636 (Tel: 5803808851)

πŸ“
Business Mailing Address (Initial Record) December 18, 2015

Registered at 1318 DENISON ST, DURANT, OK 747012636 (Tel: 5803808851)

πŸ‘€
Provider Name / Credentials (Initial Record) December 18, 2015

Recorded as KENDRA DAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2015

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration December 18, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407211402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2015
Last Update: August 21, 2023
Sole Proprietor: No

Mailing Address

107 S High St

Antlers, OK 745233818

Phone: 5802982830

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.