VICTORIA D MEDLOCK LPC
NPI 1689938342
Counselor - Mental Health in Pryor, OK

NPI Status: Active since June 27, 2012

Contact Information

109 N FAIRLAND ST
PRYOR, OK
ZIP 74361
Phone: (918) 825-1405
Fax: (918) 825-1406

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  • Individual
  • Female
  • Years of Experience 10
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About VICTORIA MEDLOCK

This page provides the complete NPI Profile along with additional information for Victoria Medlock, a provider established in Pryor, Oklahoma with a medical specialization in Counselor, focusing in mental health and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1689938342 assigned on June 2012. The practitioner's primary taxonomy code is 101YM0800X with license number 7046 (OK). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1689938342
Provider Name
VICTORIA D MEDLOCK LPC
Gender
Female
Entity Type
Individual
Location Address
109 N FAIRLAND ST PRYOR, OK 74361
Location Phone
(918) 825-1405
Location Fax
(918) 825-1406
Mailing Address
109 N FAIRLAND ST PRYOR, OK 74361
Mailing Phone
(918) 825-1405
Mailing Fax
(918) 825-1406
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
06-27-2012
Last Update Date
04-08-2019
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A mental health counselor like Victoria Medlock provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
7046
License State
OK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • MyBlue Bronze HMO? 902 - HMO
  • MyBlue Bronze HMO? 904 - HMO
  • MyBlue Bronze HMO? Standard - HMO
  • MyBlue Gold HMO? 704 - HMO
  • MyBlue Gold HMO? 804 - HMO
  • MyBlue Gold HMO? Standard - HMO
  • MyBlue Silver HMO? 705 - HMO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Bronze Premier - PPO
  • Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
  • Harmony by Medica Catastrophic - PPO
  • Harmony by Medica Catastrophic + Adult Eye Exam - PPO
  • Harmony by Medica Expanded Bronze Standard - PPO
  • Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200226970AMEDICAID (05)OK 

Medicare Participation & PECOS Enrollment Status

Victoria Medlock is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Victoria Medlock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931558400

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231208001785

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for VICTORIA D MEDLOCK LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689938342
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691831638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 3 + 1 + 6 + 3 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1689938342 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942286133MS. JAN ELLEN WELLS ARNP
Individual
Nurse Practitioner (Family)109 N FAIRLAND ST SUITE 104
PRYOR, OK 74361
(918) 824-4424
1346298635 GEORGE KENNETH RAINS JR. DDS
Individual
Dentist109 N FAIRLAND ST STE 110
PRYOR, OK 74361
(918) 825-7411
1548219264 JAMES LAWRENCE GORE DDS
Individual
Dentist109 N FAIRLAND ST STE 110
PRYOR, OK 74361
(918) 825-7411
1104854876 STEVEN LEROY DILL MD
Individual
Family Medicine109 N FAIRLAND ST SUITE 109
PRYOR, OK 74361
(918) 825-3107
1093722456 FLOYD GRANT L.C.S.W.
Individual
Social Worker (Clinical)109 N FAIRLAND ST SUITE 101
PRYOR, OK 74361
(918) 825-2884
1831382472JOY FAMILY MEDICINE
Organization
Family Medicine109 N FAIRLAND ST SUITE 105
PRYOR, OK 74361
(918) 825-9900
1043480924DENTAL GROUP PC
Organization
Dentist (General Practice)109 N FAIRLAND ST STE 110
PRYOR, OK 74361
(918) 825-7411
1174850648MR. KENNETH EDMUND MILLER JR.
Individual
Social Worker109 N FAIRLAND ST SUITE 101
PRYOR, OK 74361
(918) 825-2884
1679801765 CYNTHIA LEIGH CONINE
Individual
Counselor109 N FAIRLAND ST SUITE 101
PRYOR, OK 74361
(918) 825-2884
1780607705DR. PETER SARFATIS MD
Individual
Surgery109 N FAIRLAND ST SUITE 108
PRYOR, OK 74361
(918) 825-2070
1720597727 LISA RENEE TOLBERT
Individual
Peer Specialist109 N FAIRLAND ST
PRYOR, OK 74361
(918) 273-1841
1588672513GRAND LAKE MENTAL HEALTH CENTER, INC.
Organization
Case Management109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1598276693 KELSEY BRIELLE BAKER
Individual
Peer Specialist109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1114435955 COURTNEY SHIANN ANDERSON BHP
Individual
Counselor (Mental Health)109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1346758521 KIEFER SETH CALLISON
Individual
Peer Specialist109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1164930343 KIMBERLY DAWN BRADLEY
Individual
Case Manager/Care Coordinator109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1598263048 SMOKEY LEE TACKER
Individual
Peer Specialist109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1871924423 TRISTA BEAVERS BHCM I
Individual
Peer Specialist109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1487152153MRS. LEEANN RAYE MCDONALD
Individual
Peer Specialist109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405
1962901264MR. FRANK ROBINSON ASHBY JR. BHRS
Individual
Case Manager/Care Coordinator109 N FAIRLAND ST
PRYOR, OK 74361
(918) 825-1405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689938342, enumerated in the NPI registry as an "individual" on June 27, 2012

The provider is located at 109 N Fairland St Pryor, Ok 74361 and the phone number is (918) 825-1405

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 10 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on June 27, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.