MS. JAYNEE MARIE NELSON (NPI# 1356619431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356619431 |
Entity Type | Individual |
Full Name | MS. JAYNEE MARIE NELSON |
Credential | LPC, LADC/MH |
Practice Address |
2305 Sw H Ave 1 Lawton OK 73505-8103 |
Mailing Address |
1311 Sw Washington Ave Lawton OK 73501-7231 |
Practice Telephone | 5806786660 |
Practice Fax Number | 4057356116 |
Mailing Telephone | 5806786660 |
Mailing Fax Number | 4057356116 |
Enumeration Date | 2011-12-05 |
Last Update Date | 2019-03-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1249 | OK | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
7051 | OK | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1311 Sw Washington Ave, Lawton, OK 735017231 | 5806786660 |
Street Address |
2305 SW H AVE 1 |
City | LAWTON |
State | OK |
Zip Code | 73505-8103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245890466 | Darrell Wayne Morris | Social Worker | 2305 Sw H Ave, Lawton, OK 73505-8103 | 2019-06-19 |
1831639343 | Barry Giles | Case Management | 2305 Sw H Ave, Lawton, OK 73505-8103 | 2017-03-02 |
1790163368 | Kristi Michelle Cooley | Counselor | 2305 Sw H Ave, Lawton, OK 73505-8103 | 2015-05-14 |
1366884256 | Talib Hashim Zambezi | Psychologist | 2305 Sw H Ave, 1, Lawton, OK 73505-8103 | 2013-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700343829 | Paul Gerard Adams | Counselor | 5529 Nw Eisenhower Dr, Lawton, OK 73505-5826 | 2019-02-25 |
1790277259 | Powers Powers & Slagle LLC | Counselor | 1930 Nw Ferris Ave Ste 4, Lawton, OK 73507-5629 | 2018-05-31 |
1316300429 | Misty Dawn Watkins | Counselor | 2414 Nw Norman Cir, Lawton, OK 73505-1417 | 2016-04-05 |
1740665686 | Andrea Vangorder | Counselor | 910 Sw E Ave, Lawton, OK 73501-4593 | 2015-07-21 |
1396170791 | Anke Peyton | Counselor | 563 Sunset Dr, Lawton, OK 73507-7164 | 2013-09-05 |
1699115139 | Steven Michael Fuller | Counselor | 4202 Sw Lee Blvd., Park Ridge Professional Center, Lawton, OK 73505 | 2013-06-28 |
1407193550 | Wanda Denice Smith | Counselor | 2416 Sw Oxford Dr, Lawton, OK 73505-0802 | 2013-01-09 |
1083968085 | Doletha Brown | Counselor | 7803 Nw Morrocco Rd, Lawton, OK 73505-1122 | 2012-10-30 |
1861742868 | Latoria M Miller | Counselor | 2208 Sw Edinburough Dr, Lawton, OK 73505-0849 | 2012-09-17 |
1043575947 | Lillian L Bell | Counselor | 1510 Se Walnut Creek Rd, Lawton, OK 73501-8327 | 2012-07-07 |
Find all providers in LAWTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.