Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jimmy L Widdifield Jr., MA, LPC

Individual provider Mental Health Counselor · NPI 1710157136

Jimmy L Widdifield Jr., MA, LPC is a Mental Health Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

940 NE 13th St 4N 4900
Oklahoma City, OK 73104-5008
Phone: (405) 271-8858
Fax: (405) 271-2931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1710157136
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedMarch 3, 2008
Last updated in NPPESOctober 26, 2011

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