Mr Kevin Ernest Mellencamp, MS LPC - Counselor in Lawton, OK

Mr Kevin Ernest Mellencamp, MS LPC is a Counselor based in Lawton, Oklahoma. Mr Kevin Ernest Mellencamp is licensed to practice in Oklahoma (license number 4005) and his current practice location is 1320 Nw Homestead Dr Ste G, Lawton, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (580) 355-8883.

NPI number for Mr Kevin Ernest Mellencamp is 1033423389 and his current mailing address is 1320 Nw Homestead Dr Ste G, Lawton, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033423389.

Contact Information

Mr Kevin Ernest Mellencamp, MS LPC
1320 Nw Homestead Dr Ste G,
Lawton, OK 73505-5243
(580) 355-8883
(580) 355-8885

Map and Direction


Healthcare Provider's Profile

Full NameMr Kevin Ernest Mellencamp
GenderMale
SpecialityCounselor
Location1320 Nw Homestead Dr Ste G, Lawton, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033423389
  • Provider Enumeration Date: 07/28/2010
  • Last Update Date: 07/28/2010

Medical Identifiers

Medical identifiers for Mr Kevin Ernest Mellencamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033423389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 4005 (Oklahoma)Primary

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 Kevin Ernest Mellencamp is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kevin Ernest Mellencamp, MS LPC
1320 Nw Homestead Dr Ste G,
Lawton, OK 73505-5243

Ph: (580) 355-8883
Mr Kevin Ernest Mellencamp, MS LPC
1320 Nw Homestead Dr Ste G,
Lawton, OK 73505-5243

Ph: (580) 355-8883

Reviews and Comments


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