Active NPI
Jay Mule
- Peer Specialist
- Seminole, OK
National Provider Identifier
1235948191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2424 W Wrangler Blvd
Seminole, OK 74868-1915 - Phone
- (580) 340-1672
- NPI assigned
- Jan 6, 2025
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OK | Primary |
Addresses
Primary practice location
2424 W Wrangler Blvd
Seminole, OK 74868-1915
Mailing address
2204 SW 137TH PL
Oklahoma City, OK 73170-5731
Phone (580) 340-1672
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 |
|---|---|---|---|
| Kiowa Alcohol Drug Addictions Prevention | Current | Accepting new patients | |
| Community Opioid Prevention Empowerment | Current | Accepting new patients |
Locations
2424 W Wrangler Blvd
Seminole, OK 74868
Phone (580) 340-1672
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Seminole, OK
- NPI 1689482945
-
- Substance Abuse Rehabilitation Facility
- Anadarko, OK
- NPI 1336092147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1235948191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 SW 137TH PL",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705731",
"telephone_number": "580-340-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 W WRANGLER BLVD",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748681915",
"telephone_number": "580-340-1672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULE",
"first_name": "JAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.