Active NPI
Jamie Worstell Wohletz, LPC
- Professional Counselor
- Ponca City, OK
National Provider Identifier
1952944803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10760
- Practice address
- 1912 Lake Rd
Ponca City, OK 74604-4800 - Phone
- (580) 763-1902
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10760 | OK | Primary |
Addresses
Primary practice location
1912 Lake Rd
Ponca City, OK 74604-4800
Mailing address
1912 Lake Rd
Ponca City, OK 74604-4800
Phone (580) 763-1902
Other practice location 1
2114 SE Washington Blvd
Bartlesville, OK 74006-7254
Phone (918) 876-4211
Other names 1
- Jamie Worstell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10760 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Family Healthcare, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Ponca City, OK
- NPI 1780062943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1952944803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 LAKE RD",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746044800",
"telephone_number": "580-763-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 LAKE RD",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746044800",
"telephone_number": "580-763-1902"
}
],
"practiceLocations": [
{
"address_1": "2114 SE Washington Blvd",
"address_purpose": "LOCATION",
"city": "Bartlesville",
"state": "OK",
"postal_code": "740067254",
"country_code": "US",
"telephone_number": "918-876-4211",
"fax_number": "918-876-4215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORSTELL WOHLETZ",
"first_name": "JAMIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "10760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "WORSTELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.