Individual provider Active NPI

Camron Jolliff, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1861790396
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2095 Issued in OK
Practice address
4801 N Classen Blvd
Suite 135
Oklahoma City, OK 73118-4627
Phone
(405) 848-0011
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2095 OK Primary

Addresses

Primary practice location

4801 N Classen Blvd
Suite 135
Oklahoma City, OK 73118-4627

Mailing address

4801 N Classen Blvd
Suite 135
Oklahoma City, OK 73118-4627
Phone (405) 848-0011

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
I20240531002033 OK Practitioner - Mental Health Counselor 6406298751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc CurrentSince Apr 23, 2024 Accepting new patients
Morton Comprehensive Health Services, Inc Current Accepting new patients
Morton Comprehensive Health Services, Inc CurrentSince Apr 23, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Morton Comprehensive Health Services, Inc. Past Accepting new patients
Spur Outpatient Services Dba Southwest Foster Care Past Accepting new patients

Locations

1334 N Lansing Ave
Tulsa, OK 74106

Interoperability endpoints

  • Direct secure messaging: camronjolliff@tdh.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGGIBD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1861790396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD",
            "address_2": "SUITE 135",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184627",
            "telephone_number": "405-848-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD",
            "address_2": "SUITE 135",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184627",
            "telephone_number": "405-848-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLIFF",
        "first_name": "CAMRON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.