Healthcare Provider Details

I. General information

NPI: 1780218099
Provider Name (Legal Business Name): JAMIE WEILAND M.S., CRC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W 41ST ST STE D
SAND SPRINGS OK
74063-2726
US

IV. Provider business mailing address

10166 W 186TH ST S
SAPULPA OK
74066-5091
US

V. Phone/Fax

Practice location:
  • Phone: 918-215-2444
  • Fax: 918-514-0133
Mailing address:
  • Phone: 918-381-0783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number270141
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7445
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: