What is Jimmy Self's NPI number?

Jimmy Self's National Provider Identifier (NPI) is 1528171022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jimmy Self's specialty?

Jimmy Self is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jimmy Self located?

Jimmy Self's practice location on file with NPPES is 32270 E 722 Dr, Wagoner, OK 74467-7411.

What is Jimmy Self's phone number?

The practice phone number listed in the NPPES registry for Jimmy Self is (918) 485-9277.

Is Jimmy Self's NPI active?

Yes — Jimmy Self's NPI (1528171022) is active in the NPPES registry as of the last update on 2009-03-30.

IndividualActive

Jimmy Self, LPC

NPI 1528171022 · Mental Health Counselor · Wagoner, OK

Jimmy Self, LPC is a Mental Health Counselor provider in Wagoner, OK (NPI 1528171022).

Provider details

NPI number: 1528171022
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: LPC
Sex: Male
Sole proprietor: Yes
License: 3651 (OK)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 3651 (OK)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

32270 E 722 Dr

Wagoner, OK 74467-7411

Phone: (918) 485-9277

Street-level locationGet directions

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Mailing address