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

Mr. Steven Mark Ellsworth, LADC/MH

Individual provider Mental Health Counselor · NPI 1194562264

Mr. Steven Mark Ellsworth, LADC/MH is a Mental Health Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

800 Myrtle Dr
Edmond, OK 73034-4639
Phone: (405) 517-7243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1367 (OK)

Record details

NPI number1194562264
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC/MH
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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