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

Victoria D Medlock, LPC

Individual provider Mental Health Counselor · NPI 1689938342

Victoria D Medlock, LPC is a Mental Health Counselor in Pryor, Oklahoma. Qualified in 2016, 10 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

109 N Fairland St
Pryor, OK 74361-4203
Phone: (918) 825-1405
Fax: (918) 825-1406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7046 (OK)

Record details

NPI number1689938342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESApril 8, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pryor