Jonathan W Pooler, APRN-CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

218365 Issued in OK

Practice address

411 1/2 N Wilson St
Vinita, OK 74301

Phone

(539) 937-1715

Fax

(539) 937-1735

NPI assigned

Jun 13, 2024

Last updated

May 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

Locations

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.

• Counseling & Recovery Services of Oklahoma, Inc.

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1023172012
  Medicare reassignment NPD
• Countryside Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vinita, OK
  • NPI 1457142895
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1831932433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 1/2 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "74301",
            "telephone_number": "539-937-1715",
            "fax_number": "539-937-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 1/2 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "74301",
            "telephone_number": "539-937-1715",
            "fax_number": "539-937-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9912 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741291620",
            "country_code": "US",
            "telephone_number": "539-525-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLER",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "218365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lynn Phelps
• Curtis Alan Phillips, D.O.
• Melanie K Phillips
• Lyndsay Lanee Piguet, RN
• Amanda Kay Pipins, LPC
• Janie M Popour-Hogue, LADC
• Beth Powell
• Tamara Lynn Powell
• Tracy Nicole Praytor
• Jacqueline Nicole Prentice

• Psychiatric/Mental Health Nurse Practitioner in Vinita, OK
• Providers in Vinita, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.