Active NPI 1013138965 Individual Practitioner Male Practitioner

Mark Cody Banta , LPC

Counselor - Mental Health • Mcloud, OK

Professional Overview & Biography Verified Profile Summary

Mark Banta, LPC is a registered healthcare professional specializing in Counselor - Mental Health in Mcloud, OK. Practice services are available at 105365 S.HWY 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105365 S.hwy 102

Mcloud, OK 74851

Telephone 4059882618

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Mcloud, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Mcloud, OK (6797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-13

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OK 04525

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location July 13, 2026

Registered at 105365 S.HWY 102, MCLOUD, OK 74851 (Tel: 4059882618)

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Updated Business Mailing Address July 13, 2026

Registered at 43925 HUNTERS HILL DR, SHAWNEE, OK 748018927 (Tel: 4059882075)

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Provider Name / Credentials Updated July 13, 2026

Recorded as MARK BANTA, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Counselor (License #04525 in OK)

✅

NPI Profile Active September 01, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2009

Registered at 3033 N WALNUT AVE, OKLAHOMA CITY, OK 731052832 (Tel: 4052301145)

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Updated Business Mailing Address September 01, 2009

Registered at 1216 MOCKINGBIRD LN, EDMOND, OK 730345788 (Tel: 4052857605)

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Provider Name / Credentials Updated September 01, 2009

Recorded as MARK BANTA, LPC U/S, CADC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2009

Counselor

🟢

Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013138965

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 01, 2007

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43925 Hunters Hill Dr

Shawnee, OK 748018927

Phone: 4059882075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.