Jana Kathleen Reynolds, LMSW-P

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5148-P Issued in OK

Practice address

905 NW 4TH St
Stigler, OK 74462-1652

Phone

(918) 630-6842

Fax

(918) 967-8203

NPI assigned

Jan 23, 2012

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 identifiers 1

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

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Recovery in Oklahoma LLCGroup PAC ID 2567830318, 10 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 and National Provider Directory roles.

• Recovery in Oklahoma LLC

  • Clinic/Center
  • Tulsa, OK
  • NPI 1558805515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1497026470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NW 4TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621652",
            "telephone_number": "918-630-6842",
            "fax_number": "918-967-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NW 4TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621652",
            "telephone_number": "918-630-6842",
            "fax_number": "918-967-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JANA",
        "middle_name": "KATHLEEN",
        "credential": "LMSW-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5148-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Linda Randall, P.A.-C
• Leslie Ratliff
• Melissa Reading, BA
• Beth Reese, LMSW
• Emily J Renfrow, LMFT
• Mavis Wyanema Risenhoover, LCSW
• Jeremy D. Roach, O.D.
• Melissa Robbins
• David Lindo Robertson
• Miranda Robinson

• Clinical Social Worker in Stigler, OK
• Providers in Stigler, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.