Active NPI
Ohnre' Jerome Whaley, M.ED, MHR, LPC
- Professional Counselor
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC07367
- Practice address
- 9212 N Kelley Ave Ste 200
Oklahoma City, OK 73131-2419 - Phone
- (405) 242-5070
- NPI assigned
- Feb 8, 2016
- Last updated
- Oct 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC07367 | OK | Primary |
Addresses
Primary practice location
9212 N Kelley Ave Ste 200
Oklahoma City, OK 73131-2419
Mailing address
9212 N Kelley Ave Ste 200
Oklahoma City, OK 73131-2419
Phone (405) 242-5070
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617000315 | OK | Practitioner - Mental Health Counselor | 0547703738 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC07367 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Virginia, Inc. | Current | Accepting new patients | |
| Optum Behavioral Care of Virginia, Inc. | Current | Accepting new patients |
Locations
11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745
4801 Gaillardia Pkwy
Ste 200
Oklahoma City, OK 73142
Phone (405) 456-0101
9212 N Kelley Ave
#200
Oklahoma City, OK 73131
Phone (405) 242-5070
Organizations & group practices 2
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.
-
- Psychologist
- Oklahoma City, OK
- NPI 1134992548
-
- Clinical Social Worker
- New Orleans, LA
- NPI 1053290973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1598123374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9212 N KELLEY AVE STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731312419",
"telephone_number": "405-242-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9212 N KELLEY AVE STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731312419",
"telephone_number": "405-242-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "OHNRE'",
"middle_name": "JEROME",
"credential": "M.ED, MHR, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-08",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPC07367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.