Jesse Lee Price, LCSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

107 W 2ND St, Tahlequah, Ok 74464, United States
107
Tahlequah, OK 74464-7446

Phone

(918) 708-1755

NPI assigned

Feb 21, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathway Recovery Solutions

  • Peer Specialist
  • Tahlequah, OK
  • NPI 1831066240
  NPD Authorized official
• The Recovery Center LLC

  • Community/Behavioral Health Agency
  • Tahlequah, OK
  • NPI 1639758162
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1033817820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 2ND ST, TAHLEQUAH, OK 74464, UNITED STATES",
            "address_2": "107",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744646002",
            "telephone_number": "918-708-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 2ND ST, TAHLEQUAH, OK 74464, UNITED STATES",
            "address_2": "107",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647446",
            "telephone_number": "918-708-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JESSE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "08021990",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena Powers
• Charles Pradieu, M.D.
• Premiere Dentistry of Tahlequah
• Premiere Dentistry of Tahlequah, P.C.
• Premiere Family Dentistry of Tahlequah, PLLC
• Prime Medical Outlet LLC
• Billi Jayne Prinzen, O.D.
• Alissa Proctor, OD
• Prodigy Foundation
• Prodigy Foundation

• Peer Specialist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.