Jill Hofer M.Ed.,LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4209 Issued in OK

Legal business name

JILL HOFER M.ED.,LPC, LLC

Practice address

508 W Vandament Ave Ste 207
Yukon, OK 73099-4666

Phone

(405) 604-7223

Fax

(405) 604-7223

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Jill Hofer, M.ED., LPC

Title

Clinician/Owner

Phone

(405) 604-7223

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1083112544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 DORCHESTER DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994921",
            "telephone_number": "405-604-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE STE 207",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994666",
            "telephone_number": "405-604-7223",
            "fax_number": "405-604-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL HOFER M.ED.,LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HOFER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "405-604-7223",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200296510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John James Ditmars, Jr. DPM PC
• Priya John, NURSE PRACTITIONER
• Christy Johnson, PHARMD
• Lance Johnson, PA-C

• Professional Counselor in Yukon, OK
• Providers in Yukon, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.