JEANETTA BUSSELL (NPI# 1669703658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669703658 |
| Entity Type | Individual |
| Full Name | JEANETTA BUSSELL |
| Practice Address |
205 W Hartford Ponca City OK 74601 |
| Practice Telephone | 5807621200 |
| Mailing Telephone | 5807621200 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | UNLICENSED NORTHCARE DIRECT CARE SERVICE PROVIDER | 10 | 01 |
| Street Address |
205 W HARTFORD |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255798914 | Jan Matheson Counseling | Counselor | 1918 Lake Rd, Ponca City, OK 74604-4800 | 2016-01-25 |
| 1740620608 | Amy Christine Cox | Counselor | 1504 Trio Ln, Ponca City, OK 74604-4141 | 2013-06-25 |
| 1649570128 | Brock Adam Carlile | Counselor | 1920 Mary St, Ponca City, OK 74601-2027 | 2010-10-29 |
| 1699098152 | Kara B Anderson | Counselor | 2116 Cardinal Rd, Ponca City, OK 74604-3003 | 2010-03-11 |
| 1164584447 | Desiree Ann Ray | Counselor | 607 S. 4th Street, Ponca City, OK 74601 | 2006-12-14 |
| 1669532792 | Janet Marie Matheson | Counselor | 1918 Lake Road, Ponca City, OK 74604-1918 | 2006-12-11 |
| 1033689005 | Renia Lynn Batman | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-12-03 |
| 1306343546 | Jeanine Vest | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-04-12 |
| 1720534688 | Chad Kills Crow | Counselor | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2016-08-31 |
| 1912355405 | Amie Elaine Pickard | Counselor | 110 N 4th St, Ponca City, OK 74601-4527 | 2016-05-25 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on JEANETTA BUSSELL.
| 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.