Jennifer Ann Chwalisz-Mobley

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1202 SW a Ave
Lawton, OK 73501-3821

Phone

(580) 357-6889

NPI assigned

May 7, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roadback Incorporated

  • Substance Abuse Rehabilitation Facility
  • Lawton, OK
  • NPI 1467470310
  NPD (past)
• Warriors Healing Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Bandera, TX
  • NPI 1780048827
  NPD (past)

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1699034009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013821",
            "telephone_number": "580-357-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013821",
            "telephone_number": "580-357-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWALISZ-MOBLEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice S Christopher, M.D.
• Jason Lee Christy, DO
• Samantha Christy, PA
• CHS Health Services, LLC
• Linda Sue Church, PTA
• Maristela Cibes-Silva, M.D.
• Cassie Cintron, LPN
• Khadija Jospeha-Ali Cintron, LPN
• Shane Lee Claborn, O.D.
• Kimberly Nicole Clark

• Addiction (Substance Use Disorder) Counselor in Lawton, OK
• Providers in Lawton, 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 May 31, 2013; 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.