Active NPI
Jason Alexander Cortes
- Counselor
- Lawton, OK
National Provider Identifier
1487200549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 602 SW 38TH St
Lawton, OK 73505-6912 - Phone
- (580) 248-5780
- NPI assigned
- Aug 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
602 SW 38TH St
Lawton, OK 73505-6912
Mailing address
2717 NW Denver Ave
Lawton, OK 73505-3942
Phone (580) 647-3762
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
602 SW 38TH St
Lawton, OK 73505-6912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients |
Locations
602 SW 38th St
Lawton, OK 73505
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawton, OK
- NPI 1619012515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1487200549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 NW DENVER AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735053942",
"telephone_number": "580-647-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 SW 38TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056912",
"telephone_number": "580-248-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "JASON",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-14",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Jul 5, 2023; 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.