Healthcare Provider Details

I. General information

NPI: 1124373584
Provider Name (Legal Business Name): JODY MUELLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JODY M NUXHALL

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 SE WASHINGTON BLVD
BARTLESVILLE OK
74006-7254
US

IV. Provider business mailing address

640 NE BISON RD
BARTLESVILLE OK
74006-8075
US

V. Phone/Fax

Practice location:
  • Phone: 918-876-4211
  • Fax: 918-876-4215
Mailing address:
  • Phone: 918-331-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number06525
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2022004940
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: