Jeniece Ann Bridgforth, LPC- Candidate
Counselor, Mental Health in McLoud, OK. Individual provider (NPI-1).
NPI number1669639720
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1669639720
- Entity type
- Individual (NPI-1)
- Name
- Miss Jeniece Ann Bridgforth
- Credential
- LPC- Candidate
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2008
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 13313 | OK | Yes |
Practice location
12617 S McLoud RdMcLoud, OK 74851-8509
Phone 405-481-4755
Mailing address
12617 S McLoud RdMcLoud, OK 74851-8509
Phone 405-481-4755
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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.
Other Mental Health Counselor providers in McLoud, OK
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All 9 Mental Health Counselor providers in McLoud · All 116 providers in McLoud
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