Jo Ann Dupree Matlock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2779 Issued in OK

Practice address

RR 1 Box 627
Valliant, OK 74764-9655

Phone

(580) 933-7229

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1881920783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 627",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747649655",
            "telephone_number": "580-933-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 627",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747649655",
            "telephone_number": "580-933-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "JO ANN",
        "middle_name": "DUPREE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2779",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Heffner, MA NCC LPC-C
• Martha Hensley, BSW
• Hogan Medical Clinic LLC
• Rhoda Eola Holleman
• Sabrina Johnson
• McCurtain Memorial Medical Management, Inc. (McCurtain Memorial Rural Health Clinic Valliant)
• Ashlynn Danielle McNeal
• Emiley Ann Montgomery, APRN, FNP-C
• Krystal Michelle Nation
• Doris Arianna Nelson

• Professional Counselor in Valliant, OK
• Providers in Valliant, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.