Jacie Mitschelen

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

605 W Oxford Ave
Enid, OK 73701-1208

Phone

(580) 233-7220

NPI assigned

Feb 3, 2021

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 names 1

• Jacie Howe Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1568053361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OXFORD AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011208",
            "telephone_number": "580-233-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W OXFORD AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011208",
            "telephone_number": "580-233-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSCHELEN",
        "first_name": "JACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmitschelen@yfsenid.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "605 W Oxford Ave",
            "city": "Enid",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737011208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACIE",
            "last_name": "HOWE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Rose Mirich
• Sarah Anne Mitchell-Tebow, CRC
• Amy Mitchell
• Jonathan Charles Mitchell, BHRS
• Teresa M Mitchell, MCP, LPC, NCC
• Kimberlee R. Mixon, P.A.
• Joanna Corlett Moats, BHRS
• Mobile Imaging Solutions Inc
• Kristin Jill Moery, LADC-MH CANDIDATE
• Samantha C. Moery, D.O.

• Addiction (Substance Use Disorder) Counselor in Enid, OK
• Providers in Enid, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.