Individual provider Active NPI

Jeremy McCandor Arrisontz, LMSW

  • Social Worker
  • McLoud, OK
National Provider Identifier
1699389916
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
105365 S Highway 102
McLoud, OK 74851-3051
Phone
(405) 964-2081
NPI assigned
Sep 3, 2020
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X OK Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

105365 S Highway 102
McLoud, OK 74851-3051

Mailing address

1 05365 S Highway 102
McLoud, OK 74851-3051
Phone (405) 964-2081

Other names 1

  • Jeremy McCandor Harris 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
I20250218003679 OK Practitioner - Clinical Social Worker 5092235218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medbill LLC CurrentSince Feb 17, 2025 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Jan 28, 2024 Accepting new patients
Mosaic Health Foundation PastSince Oct 15, 2023 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

5350 S Western Ave
Ste 215
Oklahoma City, OK 73109
Phone (405) 518-0082

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1699389916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 05365 S HIGHWAY 102",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748513051",
            "telephone_number": "405-964-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105365 S HIGHWAY 102",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748513051",
            "telephone_number": "405-964-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRISONTZ",
        "first_name": "JEREMY",
        "middle_name": "MCCANDOR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "HARRIS",
            "middle_name": "MCCANDOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McLoud, OK

Sources for this page

Verify at the official NPI Registry.