Haley Jordan Nunn, MS, LPC

Individual provider Active NPI Mental Health Counselor · Clinton, OK

NPI 1720239676 · NPPES record last updated Nov 19, 2024

Key facts

NPI
1720239676
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1900 Lexington Ave
Clinton, OK 73601-5320
Phone
(405) 401-4693
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240926004041 OK Practitioner - Mental Health Counselor 8325579634 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc Current
since Aug 14, 2024
Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Branch Wellness LLC Current
since Nov 24, 2024
Accepting new patients
Grand Lake Mental Health Center, Inc. Current
since Aug 14, 2024
Accepting new patients

Locations

12005 E 470 Rd
Claremore, OK 74017
Phone (918) 342-0070

3100 Medical Pkwy
Claremore, OK 74017
Phone (918) 341-2356

1900 Lexington Ave
Clinton, OK 73601
Phone (405) 401-4693

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1900 Lexington Ave
Clinton, OK 73601-5320

Mailing address

1900 Lexington Ave
Clinton, OK 73601-5320
Phone (405) 401-4693

Other practice location 1

12005 E 470 Rd
Claremore, OK 74017-3737
Phone (918) 342-0070

Other names

  • Haley Jordan Hope Former name

Other providers in Clinton, OK

All providers in Clinton, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.