Dafna Blut Jer-Don, M.ED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1317 Issued in OK

Practice address

3201 N Mustang Rd
Ste a & B
Yukon, OK 73099-3399

Phone

(405) 810-0054

Fax

(405) 810-8977

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1922381284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12426",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572426",
            "telephone_number": "405-412-8198",
            "fax_number": "405-810-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N MUSTANG RD",
            "address_2": "STE A & B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993399",
            "telephone_number": "405-810-0054",
            "fax_number": "405-810-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUT JER-DON",
        "first_name": "DAFNA",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaden Biswell
• Nicholas Paul Black, CRNA
• Bryce Taylor Blasingame
• Alexandria Marie Blaylock, PA
• Maya Janee Blevins, RBT
• Bryan E Boatman, DPH
• Sarah Boedecker
• Taylor Dawn Boese
• Megan Elizabeth Bohrmann
• Ryan Boles, DDS

• Mental Health Counselor in Yukon, OK
• Providers in Yukon, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.