Individual provider Active NPI

Haley Jordan Nunn, MS, LPC

  • Mental Health Counselor
  • Clinton, OK
National Provider Identifier
1720239676
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1900 Lexington Ave
Clinton, OK 73601-5320
Phone
(405) 401-4693
NPI assigned
Oct 8, 2008
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 Primary

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 1

  • Haley Jordan Hope 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
I20240926004041 OK Practitioner - Mental Health Counselor 8325579634 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

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

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, 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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1720239676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LEXINGTON AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736015320",
            "telephone_number": "405-401-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LEXINGTON AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736015320",
            "telephone_number": "405-401-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12005 E 470 Rd",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740173737",
            "country_code": "US",
            "telephone_number": "918-342-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNN",
        "first_name": "HALEY",
        "middle_name": "JORDAN",
        "name_prefix": "Miss",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "HOPE",
            "middle_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.