NPIMap

Organization Active NPI

Whalen Therapeutic Center PLLC

  • Mental Health Counselor
  • Catoosa, OK
National Provider Identifier
1912398322
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5538 Issued in OK
Legal business name
WHALEN THERAPEUTIC CENTER PLLC
Practice address
1801 Hwy 66
Catoosa, OK 74015
Phone
(918) 264-4365
Fax
(888) 975-3464
NPI assigned
Feb 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Mrs. Jackie Lee Scott, LPC05538NPI 1669740411
Title
Owner/Clinician/School Psychologist
Phone
(918) 264-4365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 5538 OK Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 5538 OK
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 2394 KS

Addresses

Primary practice location

1801 Hwy 66
Catoosa, OK 74015

Mailing address

9195 E 580 Rd
Catoosa, OK 74015
Phone (918) 739-0340

Other identifiers 3

IdentifierTypeStateIssuer
200402920BMedicaidOK
201122950AMedicaidKS
200575340AMedicaidOK

Other names 1

  • CATOOSA EDUCATIONAL ASSESSMENTS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1912398322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 E 580 RD",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "74015",
            "telephone_number": "918-739-0340",
            "fax_number": "888-975-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HWY 66",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "74015",
            "telephone_number": "918-264-4365",
            "fax_number": "888-975-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHALEN THERAPEUTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN/SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "918-264-4365",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC05538"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5538",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5538",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402920B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201122950A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200575340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATOOSA EDUCATIONAL ASSESSMENTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catoosa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.