Active NPI
Jolly A Varghese, M.ED, LPC
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1235461526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 78247
- Practice address
- 312 NE 28TH St Ste 101
Oklahoma City, OK 73105-2804 - Phone
- (405) 231-3150
- NPI assigned
- Feb 11, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 78247 | TX | Primary |
Addresses
Primary practice location
312 NE 28TH St Ste 101
Oklahoma City, OK 73105-2804
Mailing address
4808 NW 161St Street
Edmond, OK 73013
Phone (405) 330-0239
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78247 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1235461526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 NW 161ST STREET",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-330-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 NE 28TH ST STE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052804",
"telephone_number": "405-231-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "JOLLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.ED, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "78247",
"primary": true
}
],
"identifiers": [],
"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 May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.