Jennifer Blondell Woolett, LPC-S
Behavior Analyst in Tahlequah, OK. Individual provider (NPI-1).
NPI number1437422706
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1437422706
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Blondell Woolett
- Credential
- LPC-S
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2012
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Blondell Woolett (Other Name)
Practice location
227 N Water AveTahlequah, OK 74464-2825
Phone 918-207-0078
Mailing address
711 S Muskogee AveTahlequah, OK 74464-4717
Phone 918-207-0078 · Fax 918-207-0558
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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