Jennifer Blondell Woolett, LPC-S

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

227 N Water Ave
Tahlequah, OK 74464-2825

Phone

(918) 207-0078

NPI assigned

Feb 17, 2012

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blondell Woolett Other name

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1841311289
  Medicare reassignment Care Compare group NPD
• Creoks Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Broken Arrow, OK
  • NPI 1598316358
  NPD
• Creoks Mental Health Services

  dba TruHealth Integrated Care

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1437422706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644717",
            "telephone_number": "918-207-0078",
            "fax_number": "918-207-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N WATER AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642825",
            "telephone_number": "918-207-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLETT",
        "first_name": "JENNIFER",
        "middle_name": "BLONDELL",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLONDELL",
            "last_name": "WOOLETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Womack, M.S. LPC
• Woodall School
• Victoria Cheyenne Woods-Reinicke, DO
• Jessica Woods, BA
• Lauren Kristine Woodward
• William George Worthington, CRNA
• Wrap Project Inc
• Brian Ray Wren, PHARM.D.
• Deanna Elizabeth Wright, ARNP
• Wyatt Speech Therapy Services, PLLC

• Behavior Analyst in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.