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

Jessica Marie Ortiz

Individual provider Counselor · NPI 1508404740

Jessica Marie Ortiz is a Mental Health Counselor in Blackwell, Oklahoma. Qualified in 2019, 7 years ago. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019
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Practice location Address checks out

1313 W Ferguson Ave
Blackwell, OK 74631-5604
Phone: (580) 789-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1392 (OK)

Record details

NPI number1508404740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Blackwell