Active NPI
Jessica Lynn Mitchell, BHCM II
- Mental Health Counselor
- Durant, OK
National Provider Identifier
1538571229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1001 W Main St
Durant, OK 74701-5038 - Phone
- (580) 924-7330
- Fax
- (580) 924-2739
- NPI assigned
- May 29, 2014
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1001 W Main St
Durant, OK 74701-5038
Mailing address
1001 W Main
Durant, OK 74701-5038
Phone (580) 924-7330
Other practice location 1
618 Bryan Dr
Durant, OK 74701-3462
Phone (580) 920-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200453720A | Medicaid | OK |
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 |
|---|---|---|---|
| Riverbend Counseling Services, LLC | 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.
-
- Community/Behavioral Health Agency
- Durant, OK
- NPI 1679821912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1538571229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W MAIN",
"city": "DURANT",
"state": "OK",
"postal_code": "747015038",
"telephone_number": "580-924-7330",
"fax_number": "580-924-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W MAIN ST",
"city": "DURANT",
"state": "OK",
"postal_code": "747015038",
"telephone_number": "580-924-7330",
"fax_number": "580-924-2739"
}
],
"practiceLocations": [
{
"address_1": "618 Bryan Dr",
"address_purpose": "LOCATION",
"city": "Durant",
"state": "OK",
"postal_code": "747013462",
"country_code": "US",
"telephone_number": "580-920-0909",
"fax_number": "580-931-3119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "BHCM II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200453720A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.