Active NPI
Jaynee Marie Nelson, LPC, LADC/MH
- Professional Counselor
- Lawton, OK
National Provider Identifier
1356619431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7051
- Practice address
- 2305 SW H Ave
1
Lawton, OK 73505-8103 - Phone
- (580) 678-6660
- Fax
- (405) 735-6116
- NPI assigned
- Dec 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1249 | OK | |
| Professional Counselor | 101YP2500X | 7051 | OK | Primary |
Addresses
Primary practice location
2305 SW H Ave
1
Lawton, OK 73505-8103
Mailing address
1311 SW Washington Ave
Lawton, OK 73501-7231
Phone (580) 678-6660
Other practice location 1
1311 SW Washington Ave
Lawton, OK 73501-7231
Phone (580) 678-6660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7051 | OK | MD | Professional Counselor |
| 1249 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inertia Services LLC | Addiction (Substance Use Disorder) | 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.
-
- Mental Health Counselor
- Lawton, OK
- NPI 1811557200
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1356619431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 SW WASHINGTON AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735017231",
"telephone_number": "580-678-6660",
"fax_number": "405-735-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 SW H AVE",
"address_2": "1",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058103",
"telephone_number": "580-678-6660",
"fax_number": "405-735-6116"
}
],
"practiceLocations": [
{
"address_1": "1311 SW Washington Ave",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "OK",
"postal_code": "735017231",
"country_code": "US",
"telephone_number": "580-678-6660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JAYNEE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC, LADC/MH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "1249",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "7051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.