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

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: November 01, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Community/Behavioral Health
407 W SOUTH AVE
Ponca City, OK 74601
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group

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 20

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

Counselor (Mental Health)
110 N 4TH ST
PONCA CITY, OK 74601
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Peer Specialist
110 N 4TH ST
PONCA CITY, OK 74601
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601
Peer Specialist
110 N 4TH ST
PONCA CITY, OK 74601
Registered Nurse
110 N 4TH ST
PONCA CITY, OK 74601
Case Manager/Care Coordinator
110 N 4TH ST
PONCA CITY, OK 74601

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 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.

Where is Jaimie Pryor located?

Jaimie Pryor practices at 110 N 4th St, Ponca City, OK 74601. The listed phone number is (580) 749-5056.

What is Jaimie Pryor's specialty?

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

Is Jaimie Pryor enrolled in Medicare?

Yes. Jaimie Pryor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaimie Pryor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaimie Pryor reassigns Medicare benefits to Grand Lake Mental Health Center Inc (Ponca City, 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 Jaimie Pryor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaimie Pryor accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health, Oscar Insurance Company and UnitedHealthcare list Jaimie Pryor 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 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.