Individual provider Active NPI

Jennifer L. Bristow Cain, MA, LPC

  • Mental Health Counselor
  • Owasso, OK
National Provider Identifier
1689900797
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 4205 Issued in OK
Practice address
10310 N 138TH East Ave Ste 101
Owasso, OK 74055-4611
Phone
(918) 200-9531
Fax
(918) 213-2103
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 4205 OK Primary

Addresses

Primary practice location

10310 N 138TH East Ave Ste 101
Owasso, OK 74055-4611

Mailing address

10310 N 138TH East Ave Ste 101
Owasso, OK 74055-4611
Phone (918) 200-9531

Other names 1

  • Jennifer L. Bristow Former name

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
I20251119000860 OK Practitioner - Mental Health Counselor 2163913971 Practice locations: Owasso, OK

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10310 N 138TH E Ave
Owasso, OK 74055-4611
Phone (918) 200-9531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 4205OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1689900797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 N 138TH EAST AVE STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554611",
            "telephone_number": "918-200-9531",
            "fax_number": "918-213-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 N 138TH EAST AVE STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554611",
            "telephone_number": "918-200-9531",
            "fax_number": "918-213-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JENNIFER",
        "middle_name": "L. BRISTOW",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPC 4205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRISTOW",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.