Active NPI
Jason Kent White, PH.D.
- Counseling Psychologist
- Stillwater, OK
National Provider Identifier
1144240383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1004
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200090180A | Medicaid | OK |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1004 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason K. White, PH.D., LLC | Counseling | Current | 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.
-
- Counseling Psychologist
- Stillwater, OK
- NPI 1366090680
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.