Active NPI
Jared Daniel Whitmire
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1114597887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10095
- Practice address
- 7935 E 57TH St
Tulsa, OK 74145-8622 - Phone
- (918) 519-4642
- NPI assigned
- Jun 25, 2021
- Last updated
- Dec 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10095 | OK | Primary |
Addresses
Primary practice location
7935 E 57TH St
Tulsa, OK 74145-8622
Mailing address
7935 E 57TH St
Tulsa, OK 74145-8622
Phone (918) 519-4642
Other practice location 1
9717 E 42nd St Ste 201
Tulsa, OK 74146-3680
Phone (918) 270-4100
Other practice location 2
101 N Greenwood Ave # 131
Tulsa, OK 74120-1444
Phone (918) 599-7277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10095 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jared Whitmire Counseling, LLC | Current | Accepting new patients |
Locations
7935 E 57th St
Tulsa, OK 74145
Phone (918) 212-8702
Interoperability endpoints
- lifestancehealth.jaredwhitmire@148561.advancedmd-direct.com
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.
-
- Mental Health Counselor
- Tulsa, OK
- NPI 1992566566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701561600000",
"number": "1114597887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7935 E 57TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741458622",
"telephone_number": "918-519-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7935 E 57TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741458622",
"telephone_number": "918-519-4642"
}
],
"practiceLocations": [
{
"address_1": "9717 E 42nd St Ste 201",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741463680",
"country_code": "US",
"telephone_number": "918-270-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 N Greenwood Ave # 131",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741201444",
"country_code": "US",
"telephone_number": "918-599-7277",
"fax_number": "918-599-7716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITMIRE",
"first_name": "JARED",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2023-12-03",
"certification_date": "2023-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "10095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.