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MS. AMY JEANNE GUDERJOHN
NPI 1548562689
Counselor - Mental Health in Moore, OK

Active since November 22, 2010PECOS Enrolled
803 NE 17TH CT, MOORE, OK 73160(405) 655-1295 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Amy Jeanne Guderjohn NPPES

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

MS. AMY JEANNE GUDERJOHN (NPI 1548562689) is an individual mental health provider in Moore, Oklahoma and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548562689
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. AMY JEANNE GUDERJOHN
Location Address803 NE 17TH CTMoore, OK 73160-6543
Mailing Address803 Ne 17th CtMoore, OK 73160-6543 · (405) 655-1295
Phone(405) 655-1295
Sole ProprietorYes
Enumeration DateNovember 22, 2010
Last NPPES UpdateDecember 19, 2016
✔ NPI 1548562689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
803 NE 17TH CT, Moore, OK 73160
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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, Blue Cross Blue Shield of North Dakota, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amy Jeanne Guderjohn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Amy Guderjohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
1,044 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 45 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
15 services12 patients

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 Amy Guderjohn's NPI number?

The NPI number for Amy Guderjohn is 1548562689. It was assigned to this individual provider in the NPPES registry on November 22, 2010.

Where is Amy Guderjohn located?

Amy Guderjohn practices at 803 NE 17th Ct, Moore, OK 73160. The listed phone number is (405) 655-1295.

What is Amy Guderjohn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amy Guderjohn enrolled in Medicare?

Yes. Amy Guderjohn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Guderjohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Guderjohn reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Amy Guderjohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Guderjohn accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Amy Guderjohn 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 Amy Guderjohn was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.