Individual provider Active NPI

Jeffrey Nemeth, LMFT

  • Marriage & Family Therapist
  • Sallisaw, OK
National Provider Identifier
1104215557
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1312 Issued in OK
Practice address
210 JT Stites Blvd
Sallisaw, OK 74955
Phone
(918) 775-7787
Fax
(918) 742-5545
NPI assigned
Jan 22, 2015
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1312 OK Primary

Addresses

Primary practice location

210 JT Stites Blvd
Sallisaw, OK 74955

Mailing address

210 JT Stites Blvd
Sallisaw, OK 74955
Phone (918) 775-7787

Other identifiers 1

IdentifierTypeStateIssuer
200569730AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250411000156 AR Practitioner - Marriage and Family Therapist 5698299642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1312OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Edwards Preferred Counseling, P.a. CurrentSince Feb 12, 2025 Accepting new patients
Zen Gee Counseling & Psychological Serv LLC Past Accepting new patients

Locations

4611 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 322-9273

Organizations & group practices 2

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1104215557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JT STITES BLVD",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-775-7787",
            "fax_number": "918-742-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JT STITES BLVD",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-775-7787",
            "fax_number": "918-742-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETH",
        "first_name": "JEFFREY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200569730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

Verify at the official NPI Registry.