Jeniece Ann Bridgforth, LPC- CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13313 Issued in OK

Practice address

12617 S McLoud Rd
McLoud, OK 74851-8509

Phone

(405) 481-4755

NPI assigned

May 16, 2008

Last updated

Mar 23, 2026By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1669639720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 S MCLOUD RD",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518509",
            "telephone_number": "405-481-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 S MCLOUD RD",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518509",
            "telephone_number": "405-481-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGFORTH",
        "first_name": "JENIECE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LPC- CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "13313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742400 B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742400F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Cody Banta, LPC
• Melissa Dawn Barnes, APRN
• Sarah Elizabeth Becker
• Amy Bowen
• Rhonda Jo Bowen, LADC LBP
• Christian Carter Brown, DDS
• Jessica Nicole Cantrell
• Vivian Carpenter
• Savannah Carrothers
• Payton Chandler

• Mental Health Counselor in McLoud, OK
• Providers in McLoud, 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 Mar 23, 2026; 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.