Individual provider Active NPI

Jeffrey Lee Whitaker, PH.D., LMFT

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1548698640
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
8265 S Walker Ave
Oklahoma City, OK 73139-9451
Phone
(405) 361-1754
Fax
(405) 361-1754
NPI assigned
Oct 29, 2013
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

8265 S Walker Ave
Oklahoma City, OK 73139-9451

Mailing address

10401 S Trafalgar Dr
Oklahoma City, OK 73139-5508
Phone (405) 361-1754

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529003724 OK Practitioner - Marriage and Family Therapist 0547730665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8265 S Walker Ave
Oklahoma City, OK 73139-9451
Phone (405) 362-1356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Outdoor Achievement Group, L.L.C. CurrentSince Oct 5, 2025 Accepting new patients

Locations

8265 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 361-1754

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.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1548698640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 S TRAFALGAR DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731395508",
            "telephone_number": "405-361-1754",
            "fax_number": "405-563-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399451",
            "telephone_number": "405-361-1754",
            "fax_number": "405-361-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.