Active NPI
Jayne Helen Stiles, BSW
- Mental Health Counselor
- Wagoner, OK
National Provider Identifier
1144546029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 118 S Main St
Wagoner, OK 74467-5221 - Phone
- (918) 485-1573
- Fax
- (918) 485-1575
- NPI assigned
- Apr 16, 2010
- Last updated
- Apr 16, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
118 S Main St
Wagoner, OK 74467-5221
Mailing address
118 S Main St
Wagoner, OK 74467-5221
Phone (918) 485-1573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200109760A | Medicaid | OK |
Other names 1
- Jayne Helen Hutt
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discovery Uttuwah LLC | Mental Health | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1144546029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744675221",
"telephone_number": "918-485-1573",
"fax_number": "918-485-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744675221",
"telephone_number": "918-485-1573",
"fax_number": "918-485-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "JAYNE",
"middle_name": "HELEN",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-16",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200109760A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAYNE",
"last_name": "HUTT",
"middle_name": "HELEN",
"credential": "BSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.