Individual provider Active NPI

Jill T Bernis, LPC, NCC

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1124409404
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4089 Issued in OK
Practice address
6510 S Western BLDG #400
Oklahoma City, OK 73139-1712
Phone
(405) 634-1111
Fax
(405) 634-1122
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4089 OK Primary

Addresses

Primary practice location

6510 S Western BLDG #400
Oklahoma City, OK 73139-1712

Mailing address

6510 S Western BLDG #400
Oklahoma City, OK 73139-1712
Phone (405) 634-1111

Other identifiers 1

IdentifierTypeStateIssuer
214699OtherNATIONAL CERTIFIED COUNSELORS

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
I20260126000911 OK Practitioner - Mental Health Counselor 9436636099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Lynch Family Services LLCGroup PAC ID 0446584205, 15 clinicians

Practice addresses (Care Compare)

333 W Main St
Suite 140
Ardmore, OK 73401-6321
Phone (580) 224-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4089OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bernis Counseling Services Current Accepting new patients
Lynch Family Services LLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

333 W Main St
Ste 140
Ardmore, OK 73401
Phone (580) 224-2929

333 W Main St
Ste 210
Ardmore, OK 73401
Phone (405) 664-7857

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1124409404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 S WESTERN BLDG #400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391712",
            "telephone_number": "405-634-1111",
            "fax_number": "405-634-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 S WESTERN BLDG #400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391712",
            "telephone_number": "405-634-1111",
            "fax_number": "405-634-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNIS",
        "first_name": "JILL",
        "middle_name": "T",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "4089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELORS",
            "identifier": "214699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.