JAIMIE PRYOR MCP, LPC-S, LADC
NPI 1669803847
Counselor in Ponca City, OK

Q: What is Jaimie Pryor's NPI number?

The NPI number for Jaimie Pryor is 1669803847. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Q: What is Jaimie Pryor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaimie Pryor was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 12, 2013PECOS Enrolled

110 N 4TH ST, PONCA CITY, OK 74601(580) 749-5056(580) 215-5765 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaimie Pryor Mcp, Lpc-s, Ladc NPPES

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

JAIMIE PRYOR MCP, LPC-S, LADC (NPI 1669803847) is an individual counselor in Ponca City, Oklahoma and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669803847

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJAIMIE PRYORCredential: MCP, LPC-S, LADC

Location Address110 N 4TH STPonca City, OK 74601-4527

Mailing Address110 N 4th StPonca City, OK 74601-4527 · (580) 749-5056 · Fax (580) 215-5765

Phone(580) 749-5056

Fax(580) 215-5765

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 12, 2013

Last NPPES UpdateJune 10, 2019

✔ NPI 1669803847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

110 N 4TH ST, Ponca City, OK 74601

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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, Medica, Mending Health.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)

Jaimie Pryor Mcp, Lpc-s, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113409038

PECOS Enrollment IDI20260228000907

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 20

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

LAUREN KIRK LPC

Counselor (Mental Health)