Mylinda Renee Fanj, M.S., LPC (US)
NPI 1255617015ActiveIndividual· Counselor, Professional· Wagoner, OK
Counselor, Professional (M.S., LPC (US)) in Wagoner, Oklahoma, licensed in OK, with an NPI issued in October 2011. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1255617015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., LPC (US) |
| Sole proprietor | No |
| NPI issued | Oct 25, 2011 |
| Last updated in NPPES | Oct 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | (US) 966 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OK) |
|---|
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