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JESSICA MARIE ORTIZ
NPI 1508404740
Counselor in Blackwell, OK

Active since December 18, 2019PECOS Enrolled
1313 W FERGUSON AVE, BLACKWELL, OK 74631(580) 789-3100 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2022, Dec 18, 2019 (2 updates tracked since 2019).

About Jessica Marie Ortiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARIE ORTIZ (NPI 1508404740) is an individual counselor in Blackwell, Oklahoma, licensed in Oklahoma (1392) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508404740
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA MARIE ORTIZ
Location Address1313 W FERGUSON AVEBlackwell, OK 74631-5604
Mailing Address1313 W Ferguson AveBlackwell, OK 74631-5604 · (580) 789-3100
Phone(580) 789-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 18, 2019
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1508404740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 1392
Definition
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.
1313 W FERGUSON AVE, Blackwell, OK 74631
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marie Ortiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284117060
PECOS Enrollment IDI20260310003366
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
1313 W FERGUSON AVE
Blackwell, OK 74631
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1457922528 (580) 789-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYLEE MAGIN
Peer Specialist
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (918) 273-1841
BREE NICOLE ROWE
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
BILLIE JO CLAFLIN
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
LACEE PIERSON
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (844) 458-2100
KAYLEE MARIE TURNER
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
DOMINIQUE KINGFISHER
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (844) 458-2100
KAYCEE R. WIELAND RN
Registered Nurse
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100
GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 789-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ortiz's NPI number?

The NPI number for Jessica Ortiz is 1508404740. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Jessica Ortiz located?

Jessica Ortiz practices at 1313 W Ferguson Ave, Blackwell, OK 74631. The listed phone number is (580) 789-3100.

What is Jessica Ortiz's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jessica Ortiz enrolled in Medicare?

Yes. Jessica Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Ortiz reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Blackwell, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Ortiz accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jessica Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Ortiz was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.