JILL T BERNIS (LPC, NCC) – Counselor, NPI 1124409404

JILL T BERNIS (LPC, NCC) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, NCC. They hold a License No. 4089 (OK). The NPI Number for JILL T BERNIS (LPC, NCC) is 1124409404

Main info

Female
Sole Proprietor
25 Years Of Experience
Name
JILL T BERNIS (LPC, NCC)
NPI
1124409404
Phone
(405) 634-1111
Address
6510 S WESTERN BLDG #400
Enumeration Date
12 June 2015
Last Update Date
12 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802242929
Graduation Year
2001 (25 years ago)
PAC ID
9436636099
Group Practice PAC ID
0446584205
Professional Enrollment ID
I20260126000911
Address ID
OK734016321AR333XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for JILL T BERNIS (LPC, NCC)

  • 6510 S WESTERN BLDG #400

    OKLAHOMA CITY, OK 731391712

    Phone: (405) 634-1111

    Fax: (405) 634-1122

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260126000911IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446584205View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What NPI should I save for JILL T BERNIS (LPC, NCC)?
Save NPI 1124409404 if you need a stable reference for JILL T BERNIS (LPC, NCC).
Is JILL T BERNIS (LPC, NCC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JILL T BERNIS (LPC, NCC) work in?
You can think of JILL T BERNIS (LPC, NCC) as practicing within Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place JILL T BERNIS (LPC, NCC)?
The snapshot lists Oklahoma City, Oklahoma for JILL T BERNIS (LPC, NCC); download NPPES for the complete set.
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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