Jillian Mize, DBH, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1312 N 1St Ave
Durant, OK 74701-2810

Phone

(580) 920-2069

Fax

(580) 920-1010

NPI assigned

Oct 15, 2009

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Psychological Development IncGroup PAC ID 5395929384, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Psychological Development, Inc.

  • Mental Health Counselor
  • Durant, OK
  • NPI 1831409440
  Medicare reassignment Care Compare group NPD
• Southern Oklahoma Treatment Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durant, OK
  • NPI 1487723276
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1649505280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "580-920-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "580-920-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "JILLIAN",
        "credential": "DBH, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Stewart Mills, D.O.
• Landry Mills
• Stormie Leigh Milne
• Miracle Durable Medical Equipment Inc (Breath of Life Sleep and Respiratory Care)
• Jessica Lynn Mitchell, BHCM II
• Shelly Gwyn Moffatt
• Fnu Mohammed Mahmoodurrahman, M.D.
• Robert Allen Moody II, DO
• Brenna E Moore, BA
• Brittney Nicole Moore

• Mental Health Counselor in Durant, OK
• Providers in Durant, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.