Individual provider Active NPI

Jayna S McWethy, MS, LPC

  • Professional Counselor
  • Purcell, OK
National Provider Identifier
1952421562
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10908 Issued in OK
Practice address
112 W Main St
Purcell, OK 73080-4220
Phone
(405) 527-1785
NPI assigned
Mar 29, 2007
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 10908 OK Primary

Addresses

Primary practice location

112 W Main St
Purcell, OK 73080-4220

Mailing address

6630 120TH St
Noble, OK 73068-7724
Phone (405) 527-1785

Other practice location 1

200 S Wewoka Ave
Wewoka, OK 74884-2640
Phone (405) 257-9030

Other practice location 2

314 S Broadway Ave Ste 106
Ada, OK 74820-5818
Phone (580) 235-0210

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
I20240603000086 OK Practitioner - Mental Health Counselor 0749722056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-County Counseling, Inc. Mental Health CurrentSince Apr 20, 2024 Accepting new patients

Locations

314 S Broadway Ave
Ste 106
Ada, OK 74820
Phone (580) 235-0210

112 W Main St
Purcell, OK 73080
Phone (405) 527-1785

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1952421562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 120TH ST",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730687724",
            "telephone_number": "405-527-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804220",
            "telephone_number": "405-527-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Wewoka Ave",
            "address_purpose": "LOCATION",
            "city": "Wewoka",
            "state": "OK",
            "postal_code": "748842640",
            "country_code": "US",
            "telephone_number": "405-257-9030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 S Broadway Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748205818",
            "country_code": "US",
            "telephone_number": "580-235-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWETHY",
        "first_name": "JAYNA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

Verify at the official NPI Registry.