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: July 26, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 10

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

Peer Specialist
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Case Manager/Care Coordinator
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Registered Nurse
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Clinic/Center (Mental Health (Including Community Mental Health Center))
1313 W FERGUSON AVE
BLACKWELL, OK 74631
Peer Specialist
1313 W FERGUSON AVE
BLACKWELL, OK 74631

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.

What insurance does Jessica Ortiz accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica 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 with the weekly NPPES data releases published by CMS.