Active NPI
Jill N Daugherty
- Professional Counselor
- Owasso, OK
National Provider Identifier
1447061460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 11510 N 109TH Ave E
Owasso, OK 74055 - Phone
- (918) 212-8703
- NPI assigned
- Jan 17, 2025
- Last updated
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OK | ||
| Professional Counselor | 101YP2500X | OK | Primary |
Addresses
Primary practice location
11510 N 109TH Ave E
Owasso, OK 74055
Mailing address
11510 N 109TH Ave E
Owasso, OK 74055
Phone (918) 212-8703
Other practice location 1
2617 N Jardot Rd
Stillwater, OK 74075-8781
Phone (918) 212-8703
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 |
|---|---|---|---|
| Watchman Counseling Center | Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Owasso, OK
- NPI 1992196836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1447061460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 N 109TH AVE E",
"city": "OWASSO",
"state": "OK",
"postal_code": "74055",
"telephone_number": "918-212-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 N 109TH AVE E",
"city": "OWASSO",
"state": "OK",
"postal_code": "74055",
"telephone_number": "918-212-8703"
}
],
"practiceLocations": [
{
"address_1": "2617 N Jardot Rd",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "OK",
"postal_code": "740758781",
"country_code": "US",
"telephone_number": "918-212-8703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "JILL",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
- Mark Alan Curtis, DDS
- Custom Dental of Owasso, PLLC
- Daniel & Max LLC (Stanton Optical)
- Sidney Daniel
- Darla Bell DPT PLLC (Owasso Physical Therapy and Pelvic Health)
- David L & Stanley J Smith PTRS (Smith Medical Clinic)
- Kayla Davidson
- Barbariae A Davis, MS
- Kaylyn Nicole Davis, M.S., LPC, NCC
- Natalee Davis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.