Individual provider Active NPI

Jennifer Benaire Taylor-O'Neill, PHD, LMSW

  • Social Worker
  • Norman, OK
National Provider Identifier
1194612994
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21694-P Issued in OK
Practice address
1008 24TH Ave NW
Norman, OK 73069-6369
Phone
(405) 310-3262
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 21694-P OK Primary

Addresses

Primary practice location

1008 24TH Ave NW
Norman, OK 73069-6369

Mailing address

1008 24TH Ave NW
Norman, OK 73069-6369
Phone (405) 310-3262

Other practice location 1

13301 N Meridian Ave Ste 100
Oklahoma City, OK 73120-8357
Phone (405) 310-3262

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21694-POKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Behavioral Health LLC Single Specialty 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1194612994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696369",
            "telephone_number": "405-310-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696369",
            "telephone_number": "405-310-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13301 N Meridian Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208357",
            "country_code": "US",
            "telephone_number": "405-310-3262",
            "fax_number": "405-876-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR-O'NEILL",
        "first_name": "JENNIFER",
        "middle_name": "BENAIRE",
        "credential": "PHD, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OK",
            "license": "21694-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.