Johnnie Lynnette West, MS,LPC,MHP
Individual provider Active NPI Professional Counselor · Valliant, OK
NPI 1811042591 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1811042591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3332 (OK)
- Practice address
- RR 2 Box 497
Valliant, OK 74764-9793 - Phone
- (580) 743-6214
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3332 | OK | Yes |
Addresses
Primary practice location
RR 2 Box 497
Valliant, OK 74764-9793
Mailing address
RR 2 Box 497
Valliant, OK 74764-9793
Phone (580) 743-6214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | OK |
Other providers in Valliant, OK
- Rebecca S Thompson
- Valliant House, LLC
- Valliant Public Schools
- Vickie Watson
- Daniel West
- Shanna Renell Willoughby
- Martha Jane Wilson
All providers in Valliant, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.