Individual provider Active NPI

Jo Whitney

  • Addiction (Substance Use Disorder) Counselor
  • Choctaw, OK
National Provider Identifier
1053759852
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2895 Hawkin
Choctaw, OK 73020-8724
Phone
(405) 808-2605
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2895 Hawkin
Choctaw, OK 73020-8724

Mailing address

PO Box 1416
Choctaw, OK 73020-1416
Phone (405) 808-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904000443 OK Practitioner - Mental Health Counselor 4981144078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1256OKMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Aug 1, 2024 Accepting new patients
State of Oklahoma CurrentSince Aug 1, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

1222 10th St
Ste 211
Woodward, OK 73801
Phone (580) 256-8615

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1053759852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1416",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730201416",
            "telephone_number": "405-808-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAWKIN",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208724",
            "telephone_number": "405-808-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

Verify at the official NPI Registry.