JACQUELYN PIRTLE (NPI# 1720340177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720340177 |
| Entity Type | Individual |
| Full Name | JACQUELYN PIRTLE |
| Practice Address |
903 W Main St Antlers OK 74523-2045 |
| Mailing Address |
112 7th Ave Ne Ardmore OK 73401-6826 |
| Practice Telephone | 5802983001 |
| Practice Fax Number | 5802985357 |
| Mailing Telephone | 5805983001 |
| Mailing Fax Number | 5802985357 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| 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 |
| Street Address |
903 W MAIN ST |
| City | ANTLERS |
| State | OK |
| Zip Code | 74523-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689921702 | Odell V Gunter | Psychologist | 903 W Main St, Antlers, OK 74523-2045 | 2012-08-08 |
| 1407101330 | Renea Y Smith | Psychologist | 903 W Main St, Antlers, OK 74523-2045 | 2012-07-17 |
| 1477808335 | Wanda L Lassiter | Psychologist | 903 W Main St, Antlers, OK 74523-2045 | 2012-07-17 |
| 1477818789 | Kerensa Lynne Dunse Grimsley | Counselor | 903 W Main St, Antlers, OK 74523-2045 | 2012-07-12 |
| 1851656920 | Kendal L Cudjoe | Psychologist | 903 W Main St, Antlers, OK 74523-2045 | 2012-07-05 |
| 1659636744 | Lacey Jay Doty | Psychologist | 903 W Main St, Antlers, OK 74523-2045 | 2012-07-05 |
| 1639434723 | Michael Christopher Puckett | Psychologist | 903 W Main St, Antlers, OK 74523-2045 | 2012-07-05 |
| 1760741862 | Shari Metz Zimmerman | Counselor | 903 W Main St, Antlers, OK 74523-2045 | 2012-05-09 |
| 1003174517 | Kimberly R Couch | Counselor | 903 W Main St, Antlers, OK 74523-2045 | 2012-05-03 |
| 1790042174 | Kashila L Wilson | Counselor | 903 W Main St, Antlers, OK 74523-2045 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793351 | Terry Jean Draper | Nurse Practitioner | 416020 E 1951 Rd, Antlers, OK 74523 | 2018-06-11 |
| 1134628456 | Breiana Jacobs | Case Manager/Care Coordinator | 107 South High St, Antlers, OK 74523 | 2018-02-02 |
| 1174072482 | Crossroads 1010 LLC | Community/Behavioral Health | 193908 Us Hwy 271, Antlers, OK 74523 | 2016-09-27 |
| 1700277092 | Katherine Jill Maple | Registered Nurse | 506 Hwy 271 North, Antlers, OK 74523 | 2015-02-09 |
| 1366884975 | Jessica L. Rowan | Speech-Language Pathologist | 426297 State Highway 3, Antlers, OK 74523 | 2013-07-24 |
| 1235432444 | Charis Kay Griffin | Psychologist | 903 West Main St., Antlers, OK 74523 | 2010-12-09 |
| 1629213889 | Hometown Quality Care, Inc | Home Health | 191475 N 4140 Rd Ste 3, Antlers, OK 74523 | 2008-12-02 |
| 1841491214 | Zen Gee Counseling & Psychological Serv LLC | Community/Behavioral Health | 608 Highway 271 North, Antlers, OK 74523 | 2007-05-31 |
| 1376689422 | Marcia Leigh Armstrong | Counselor | 608 Hwy 271 North, Antlers, OK 74523 | 2007-01-29 |
| 1831247691 | Chance J Lawless | Dentist | 412 N Hwy 271, Antlers, OK 74523 | 2007-01-08 |
| Find all providers in zip 74523 | ||||
| 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 |
|---|---|---|---|---|
| 1639715261 | Keely Shae Thurman | Counselor | 193908 Us Highway 271, Antlers, OK 74523-1386 | 2019-11-19 |
| 1831451178 | Tonya Leann Garman | Counselor | 907 Ne 2nd St, Antlers, OK 74523-2802 | 2012-06-12 |
| 1184913907 | Christen Michelle Selsor | Counselor | 903 W Main, Antlers, OK 74523-2045 | 2011-04-01 |
| 1992024954 | Judean Elizabeth Derby | Counselor | 204 Se A St, Pob 615, Antlers, OK 74523-4021 | 2010-05-28 |
| 1578882528 | Karla Lea Elliott | Counselor | 1009 Se 3rd St, Antlers, OK 74523-4239 | 2010-05-28 |
| 1881921906 | Jennifer D Hill | Counselor | 193 908 Us Hwy 271, Antlers, OK 74523-2055 | 2009-11-10 |
| 1336311174 | Lahoma T Roebuck | Counselor | 1322 W Main, Antlers, OK 74523-1322 | 2008-04-01 |
| 1760687065 | Nancy Savage | Counselor | 608 N Hwy 271, Antlers, OK 74523-0374 | 2007-06-18 |
| 1447474812 | Malisa Hallman | Counselor | 106 Se 2nd St, Antlers, OK 74523-4012 | 2007-04-13 |
| 1376689422 | Marcia Leigh Armstrong | Counselor | 608 Hwy 271 North, Antlers, OK 74523 | 2007-01-29 |
| Find all providers in ANTLERS | ||||
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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.