Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Ly

Individual provider Professional Counselor · NPI 1073394201

Kevin Ly is a Mental Health Counselor in Oklahoma City, Oklahoma. Qualified in 2023, 3 years ago. Practices with Oklahoma Mental Health Council, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2023
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Practice location Address checks out

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone: (405) 424-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6051 N Brookline Ave Ste 112, Oklahoma City, OK 73112-4286 — (405) 810-0054

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (OK)

Record details

NPI number1073394201
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2023
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Oklahoma Mental Health Council — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Oklahoma City