Individual provider Active NPI

Jamie Lynn Mungai, LPC-S

  • Mental Health Counselor
  • Guthrie, OK
National Provider Identifier
1306326483
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
114 W Harrison Ave Ste 103
Guthrie, OK 73044-4737
Phone
(405) 426-9080
NPI assigned
Aug 17, 2018
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OK Primary

Addresses

Primary practice location

114 W Harrison Ave Ste 103
Guthrie, OK 73044-4737

Mailing address

114 W Harrison Ave Ste 103
Guthrie, OK 73044-4737
Phone (405) 426-9080

Other practice location 1

3838 NW 36th St Ste 200
Oklahoma City, OK 73112-2916
Phone (405) 702-9032

Other identifiers 1

IdentifierTypeStateIssuer
200789570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240817000104 OK Practitioner - Mental Health Counselor 1658819925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Aug 1, 2024 Accepting new patients
Pendulum Therapy Services CurrentSince May 16, 2022 Accepting new patients
Concepts in Counseling, LLC Past Accepting new patients

Locations

114 W Harrison Ave
Ste 103
Guthrie, OK 73044
Phone (405) 426-9080

620 NW 5th St
Ste D
Moore, OK 73160

Organizations & group practices 3

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1306326483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W HARRISON AVE STE 103",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444737",
            "telephone_number": "405-426-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W HARRISON AVE STE 103",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444737",
            "telephone_number": "405-426-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 NW 36th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122916",
            "country_code": "US",
            "telephone_number": "405-702-9032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGAI",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200789570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.