Mr Desmond E Ketter, LPC in Tulsa, OK - Medicare Mental Health Counselor Provider

Mr Desmond E Ketter, LPC is a medicare enrolled "Counselor - Professional" provider in Tulsa, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2022 and has 3 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 5840 S Memorial Dr Ste 330, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 200-9830.

Mr Desmond E Ketter is licensed to practice in Oklahoma (license number 10952) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194296210.

Contact Information

	Mr Desmond E Ketter, LPC
	5840 S Memorial Dr Ste 330, Tulsa, OK 74145-9060
	(918) 200-9830
	(918) 601-8103

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Desmond E Ketter
Gender	Male
Speciality	Mental Health Counselor
Experience	3 Years
Location	5840 S Memorial Dr Ste 330, Tulsa, 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.

Medical Education and Training:

Mr Desmond E Ketter attended and graduated from University Of Oklahoma College Of Medicine in 2022

NPI Data:

NPI Number: 1194296210
Provider Enumeration Date: 12/16/2018
Last Update Date: 06/09/2025

Medicare PECOS Information:

PECOS PAC ID: 7012426224
Enrollment ID: I20250530001288

Medical Identifiers

Medical identifiers for Mr Desmond E Ketter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194296210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	10952 (Oklahoma)	Primary

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. Mr Desmond E Ketter allows following entities to bill medicare on his behalf.

Entity Name	Scripted Mind, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770386203 PECOS PAC ID: 6103335302 Enrollment ID: O20250530001230

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. Mr Desmond E Ketter 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
Mr Desmond E Ketter, LPC 3108 S Hemlock Ct, Broken Arrow, OK 74012-7602 Ph: (918) 645-6064	Mr Desmond E Ketter, LPC 5840 S Memorial Dr Ste 330, Tulsa, OK 74145-9060 Ph: (918) 200-9830

Reviews and Comments

Counselor in Tulsa, OK

Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106
Deborah Susan Farber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7633 E 63rd Pl Ste 300, Tulsa, OK 74133 Phone: 539-207-2036
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Accepting Medicare Assignments Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966

Mr Desmond E Ketter, LPC - Medicare Counselor in Tulsa, OK