Destiny Lyn Ellis, LPC-S in Owasso, OK - Medicare Mental Health Counselor Provider

Destiny Lyn Ellis, LPC-S is a medicare enrolled "Counselor" provider in Owasso, Oklahoma. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Chris King Counseling Services Llc and her current practice location is 8551 N 125th East Ave Ste 250, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 760-5243.

Destiny Lyn Ellis is licensed to practice in Oklahoma (license number 10335) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790205094.

Contact Information

	Destiny Lyn Ellis, LPC-S
	8551 N 125th East Ave Ste 250, Owasso, OK 74055-2160
	(918) 760-5243
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Destiny Lyn Ellis
Gender	Female
Speciality	Mental Health Counselor
Experience	7 Years
Location	8551 N 125th East Ave Ste 250, Owasso, Oklahoma
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Destiny Lyn Ellis graduated from medical school in 2019

NPI Data:

NPI Number: 1790205094
Provider Enumeration Date: 06/27/2017
Last Update Date: 02/25/2026

Medicare PECOS Information:

PECOS PAC ID: 1850814583
Enrollment ID: I20250402003346

Medical Identifiers

Medical identifiers for Destiny Lyn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790205094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	10335 (Oklahoma)	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chris King Counseling Services Llc	8022385574	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Destiny Lyn Ellis allows following entities to bill medicare on her behalf.

Entity Name	Chris King Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669872131 PECOS PAC ID: 8022385574 Enrollment ID: O20170605000677

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destiny Lyn Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Destiny Lyn Ellis, LPC-S 15031 S 4060 Rd, Oologah, OK 74053-3737 Ph: (918) 728-9516	Destiny Lyn Ellis, LPC-S 8551 N 125th East Ave Ste 250, Owasso, OK 74055-2160 Ph: (918) 760-5243

Reviews and Comments

Counselor in Owasso, OK

Susan Renee Terhune, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10577 N 121st East Ave, Owasso, OK 74055 Phone: 918-859-6622
James Schnorrenberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10100 N Garnett Rd, Owasso, OK 74055 Phone: 918-289-5614
Ms. Teresa Gail Doss Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8959 N 133rd East Ave, Owasso, OK 74055 Phone: 918-625-8655
Laurel Stouffer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12906 E 106th St N, Owasso, OK 74055 Phone: 918-214-3804 Fax: 918-376-4586
Ms. Barbara Roberts Bold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9017 N 100th East Ave, Owasso, OK 74055 Phone: 918-272-1413
Jenifer Nold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10310 N 138th East Ave Ste 101, Owasso, OK 74055 Phone: 539-210-3847
Mary Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9800 N 100th East Ave, Owasso, OK 74055 Phone: 918-609-3006

Destiny Lyn Ellis, LPC-S - Medicare Counselor in Owasso, OK