Individual provider Active NPI

Jason Kent White, PH.D.

  • Counseling Psychologist
  • Stillwater, OK
National Provider Identifier
1144240383
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1004 Issued in OK
Practice address
807 S Pine St
Stillwater, OK 74074-4350
Phone
(405) 614-2846
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1004 OK Primary

Addresses

Primary practice location

807 S Pine St
Stillwater, OK 74074-4350

Mailing address

807 S Pine St
Stillwater, OK 74074-4350
Phone (405) 614-2846

Other practice location 1

320 Student Union
Stillwater, OK 74078-7051
Phone (405) 614-2846

Other identifiers 1

IdentifierTypeStateIssuer
200090180AMedicaidOK

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
I20191203001347 OK Practitioner - Clinical Psychologist 1153499629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

807 S Pine St
Jason K White PHD
Stillwater, OK 74074-4350
Phone (405) 614-2846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1004OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason K. White, PH.D., LLC Counseling CurrentSince Dec 1, 2019 Accepting new patients

Locations

807 S Pine St
Stillwater, OK 74074
Phone (405) 533-3888

807 S Pine St
#K
Stillwater, OK 74074
Phone (405) 614-2846

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144240383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744350",
            "telephone_number": "405-614-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744350",
            "telephone_number": "405-614-2846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Student Union",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740787051",
            "country_code": "US",
            "telephone_number": "405-614-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JASON",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.