| Mark Fry, MA, LPC | |
|
12005 E 470 Rd, Claremore, OK 74017-3737 | |
| (918) 342-0772 | |
| Not Available |
| Full Name | Mark Fry |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 21 Years |
| Location | 12005 E 470 Rd, Claremore, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902021819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creoks Mental Health Services | 0749591469 | 39 |
| Entity Name | Creoks Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841311289 PECOS PAC ID: 0749591469 Enrollment ID: O20161101000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Fry, MA, LPC 2618 E 88th St Apt 4, Tulsa, OK 74137-2471 Ph: Not Available | Mark Fry, MA, LPC 12005 E 470 Rd, Claremore, OK 74017-3737 Ph: (918) 342-0772 |
Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929 |
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087 |
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: May Accept Medicare Assignments Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 |
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087 |
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770 |
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770 |
Sandra Mwansa, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 W 1st St, Claremore, OK 74017 Phone: 918-280-8360 |