Individual provider Active NPI

Jacqueline Marie Flynn

  • Mental Health Counselor
  • Pryor, OK
National Provider Identifier
1073058392
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
231 E Graham Ave
Pryor, OK 74361-2436
Phone
(918) 825-1405
NPI assigned
Dec 21, 2016
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

231 E Graham Ave
Pryor, OK 74361-2436

Mailing address

231 E Graham Ave
Pryor, OK 74361-2436
Phone (918) 955-9770

Other practice location 1

3818 Spicewood Springs Rd Ste 300
Austin, TX 78759-8971
Phone (512) 956-9786

Other practice location 2

1518 E 49th Pl
Tulsa, OK 74105-4810
Phone (918) 955-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JM Flynn Counseling, PLLC Mental Health Current Accepting new patients

Locations

3818 Spicewood Springs Rd
Ste 300
Austin, TX 78759
Phone (512) 343-2830

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1073058392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E GRAHAM AVE",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743612436",
            "telephone_number": "918-955-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E GRAHAM AVE",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743612436",
            "telephone_number": "918-825-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 Spicewood Springs Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598971",
            "country_code": "US",
            "telephone_number": "512-956-9786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1518 E 49th Pl",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741054810",
            "country_code": "US",
            "telephone_number": "918-955-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.