Active NPI
Jason Stuart Gunter, PH.D.
- Counseling Psychologist
- Oklahoma City, OK
National Provider Identifier
1467400283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1013
- Practice address
- 3224 SW 119TH St
Oklahoma City, OK 73170-4548 - Phone
- (405) 759-3880
- Fax
- (405) 759-3882
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1013 | OK | Primary |
Addresses
Primary practice location
3224 SW 119TH St
Oklahoma City, OK 73170-4548
Mailing address
3224 SW 119TH St
Ste a
Oklahoma City, OK 73170-4546
Phone (405) 759-3880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200075170A | Medicaid | OK | |
| 23727800173120A031 | Other | OK | TRICARE |
| 7068560 | Other | OK | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013 | OK | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1467400283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 SW 119TH ST",
"address_2": "STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704546",
"telephone_number": "405-759-3880",
"fax_number": "405-759-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3224 SW 119TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704548",
"telephone_number": "405-759-3880",
"fax_number": "405-759-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "JASON",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OK",
"license": "1013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200075170A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "23727800173120A031",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7068560",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.