JENNIFER MIROSSAY LPC
NPI 1770106189
Counselor - Professional in Yukon, OK

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
508 W VANDAMENT AVE STE 210, YUKON, OK 73099(405) 632-6688 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, May 20, 2020 (2 updates tracked since 2020).

About Jennifer Mirossay Lpc NPPES

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

JENNIFER MIROSSAY LPC (NPI 1770106189) is an individual professional provider in Yukon, Oklahoma, licensed in Oklahoma (10204) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770106189
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER MIROSSAYCredential: LPC
Location Address508 W VANDAMENT AVE STE 210Yukon, OK 73099-4666
Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2020
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
NPI 1770106189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 10204
508 W VANDAMENT AVE STE 210, Yukon, OK 73099

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 and accepts Medicare assignment

Jennifer Mirossay Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749627628
PECOS Enrollment IDI20260507003309
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 7

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

Nurse Practitioner (Family)
508 W VANDAMENT AVE STE 210
YUKON, OK 73099
Pediatrics
508 W VANDAMENT AVE STE 210
YUKON, OK 73099
Physician Assistant (Medical)
508 W VANDAMENT AVE STE 210
YUKON, OK 73099
Counselor
508 W VANDAMENT AVE STE 210
YUKON, OK 73099
Nurse Practitioner (Psychiatric/Mental Health)
508 W VANDAMENT AVE STE 210
YUKON, OK 73099
Pediatrics
508 W VANDAMENT AVE STE 210
YUKON, OK 73099
Nurse Practitioner (Pediatrics)
508 W VANDAMENT AVE STE 210
YUKON, OK 73099

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 Jennifer Mirossay's NPI number?

The NPI number for Jennifer Mirossay is 1770106189. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Jennifer Mirossay located?

Jennifer Mirossay practices at 508 W Vandament Ave Ste 210, Yukon, OK 73099. The listed phone number is (405) 632-6688.

What is Jennifer Mirossay's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Mirossay enrolled in Medicare?

Yes. Jennifer Mirossay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Mirossay accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and Oscar Insurance Company and 2 other insurers list Jennifer Mirossay 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 Jennifer Mirossay was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.