Active NPI
Jamal George
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1184228579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1737 Linwood Blvd
Oklahoma City, OK 73106-5037 - Phone
- (405) 239-6815
- NPI assigned
- Nov 25, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1737 Linwood Blvd
Oklahoma City, OK 73106-5037
Mailing address
15725 Capulet Dr
Edmond, OK 73013-5059
Phone (214) 901-1487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U084065323 | Other | OK | PRIVATE PAY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1184228579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15725 CAPULET DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135059",
"telephone_number": "214-901-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 LINWOOD BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065037",
"telephone_number": "405-239-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JAMAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAY",
"identifier": "U084065323",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.