| Kenny James, M.s., L.p.c., P.c., Ltd. | |
|
118 N Oak St Ponca City OK 74601-4238 | |
| (580) 304-9991 | |
| (580) 762-1066 |
| Full Name | Kenny James, M.s., L.p.c., P.c., Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 118 N Oak St, Ponca City, Oklahoma |
| Authorized Official Name and Position | Jimmie Kenneth James (OWNER) |
| Authorized Official Contact | 5803049991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny James, M.s., L.p.c., P.c., Ltd. 118 N Oak St Ponca City OK 74601-4238 Ph: (580) 304-9991 | Kenny James, M.s., L.p.c., P.c., Ltd. 118 N Oak St Ponca City OK 74601-4238 Ph: (580) 304-9991 |
| NPI Number | 1730427725 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 7416391081 |
|---|---|
| Medicare Enrollment ID | O20240222001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730427725 | NPI | - | NPPES |
| 200231600A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1018 (Oklahoma) | Primary |
| Provider Name | Jimmie K James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942447719 PECOS PAC ID: 3678911948 Enrollment ID: I20240404004422 |
Edwin Fair Community Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N 5th St, Ponca City, OK 74601 Phone: 580-762-7561 Fax: 580-762-2576 | |
Grand Lake Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 W South Ave, Ponca City, OK 74601 Phone: 580-308-5515 Fax: 580-749-5792 | |
Kara M. Smith, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Suite 1, Ponca City, OK 74601 Phone: 580-382-5772 Fax: 580-382-5731 | |
Laura Peitz Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 Lake Rd, Ponca City, OK 74604 Phone: 580-762-6511 Fax: 580-762-6511 | |
Edwin Fair Community Mental Health Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 580-762-7561 Fax: 580-762-2576 | |
Suzan B. Simmons, Ph.d,,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Lake Rd, Ponca City, OK 74604 Phone: 580-761-3799 | |
Soaring Heights Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Summers Pl, Ponca City, OK 74604 Phone: 406-998-8390 |