Individual provider Active NPI

Jodi Ray

  • Mental Health Counselor
  • Heavener, OK
National Provider Identifier
1730457383
Registry record updated Dec 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
45812 Lovings Church LN
Heavener, OK 74937-9110
Phone
(918) 658-5644
NPI assigned
Dec 11, 2011
Last updated
Dec 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2011

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 NU Primary

Addresses

Primary practice location

45812 Lovings Church LN
Heavener, OK 74937-9110

Mailing address

45812 Lovings Church LN
Heavener, OK 74937-9110
Phone (918) 658-5644

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
I20240305004328 OK Practitioner - Mental Health Counselor 4587000179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Counseling, Inc Mental Health CurrentSince Jan 23, 2024 Accepting new patients
A Plus Care Program LLC Mental Health PastSince Jan 23, 2024 Accepting new patients

Locations

123 E Avenue C
Heavener, OK 74937
Phone (918) 653-2543

309 Rogers Ave
Poteau, OK 74953
Phone (918) 647-5395

Organizations & group practices 2

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": "1323561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323561600000",
    "number": "1730457383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45812 LOVINGS CHURCH LN",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749379110",
            "telephone_number": "918-658-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45812 LOVINGS CHURCH LN",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749379110",
            "telephone_number": "918-658-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JODI",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-11",
        "last_updated": "2011-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heavener, OK

Sources for this page

Verify at the official NPI Registry.