LESLIE JACOX (NPI# 1134491475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134491475 |
| Entity Type | Individual |
| Full Name | LESLIE JACOX |
| Credential | LPC |
| Practice Address |
134 N 12th Ave Durant OK 74701-4718 |
| Practice Telephone | 5809246363 |
| Practice Fax Number | 5809240379 |
| Mailing Telephone | 5809246363 |
| Mailing Fax Number | 5809240379 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2816 | OK | Behavioral Health & Social Service Providers |
| Street Address |
134 N 12TH AVE |
| City | DURANT |
| State | OK |
| Zip Code | 74701-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407916802 | Providence Service Corporation of Oklahoma | Clinic/Center | 134 N 12th Ave, Durant, OK 74701-4718 | 2006-12-08 |
| 1134658164 | Kearston Danielle Hadley | Case Management | 134 N 12th Ave, Durant, OK 74701-4718 | 2017-06-04 |
| 1831649276 | Jackie Lynn Shamsollahi | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2016-10-10 |
| 1760837637 | Camille Euvon Phelps | Case Manager/Care Coordinator | 134 N 12th Ave, Durant, OK 74701-4718 | 2016-04-28 |
| 1487045514 | Ashley Duncan | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2015-02-11 |
| 1588905822 | Ashley Drake | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2013-03-12 |
| 1497007215 | Kim Podany | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2012-10-03 |
| 1568732626 | Gayle Avery | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2012-01-06 |
| 1205123353 | Taylor Painter | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2011-07-08 |
| 1013207141 | Daniel Nelson | Counselor | 134 N 12th Ave, Durant, OK 74701-4718 | 2011-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215395520 | Bryant Adams | Counselor | 1701 W Beech St, Durant, OK 74701-3623 | 2016-02-01 |
| 1043676901 | Megan Jackson | Counselor | 1308 N 1st Ave # A, Durant, OK 74701-2813 | 2016-01-07 |
| 1083070395 | Clara Rutledge | Counselor | 1705 N Washington Ave Ste D, Durant, OK 74701-2100 | 2016-01-04 |
| 1558757278 | Janet Cobb | Counselor | 134 12th Street, Durant, OK 74701 | 2015-04-09 |
| 1265856470 | Tracie Doyal | Counselor | 33744 State Road 78, Durant, OK 74701-9277 | 2014-02-07 |
| 1073854071 | Ethan Matson | Counselor | 1602 Timberline Dr, Durant, OK 74701-2339 | 2013-03-15 |
| 1366703324 | Payton Glen Guthrie | Counselor | 424 1/2 N. 4th, Durant, OK 74701-0000 | 2012-06-06 |
| 1346509825 | Lucy Phillips | Counselor | 715 Nth 1st, Durant, OK 74701 | 2012-05-03 |
| 1760767537 | Sherry Anne Hagan | Counselor | 1604 N. Washington, Durant, OK 74701 | 2011-10-12 |
| 1942580287 | Janice Rae Gibson | Counselor | 1604 N. Washinton, Durant, OK 74701 | 2011-08-18 |
| Find all providers in DURANT | ||||
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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.