Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Mirossay, LPC

Individual provider Professional Counselor · NPI 1770106189

Jennifer Mirossay, LPC is a Mental Health Counselor in Yukon, Oklahoma. Qualified in 2017, 9 years ago. Practices with Variety Care, Inc, a 105-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

508 W Vandament Ave Ste 210
Yukon, OK 73099-4666
Phone: (405) 632-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10204 (OK)

Record details

NPI number1770106189
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 20, 2020
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address3000 N Grand Blvd, Oklahoma City, OK 73107-1818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Variety Care, Inc. — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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