Jessica King, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6701 Issued in OK

Practice address

2100 N Broadway Ave
Ada, OK 74820-1048

Phone

(580) 436-7120

NPI assigned

Sep 2, 2015

Last updated

May 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Biofeedback and Counseling IncGroup PAC ID 9739480955, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Biofeedback & Counseling, Inc.

  • Professional Counselor
  • Ada, OK
  • NPI 1023103082
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1063880490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-453-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748201048",
            "country_code": "US",
            "telephone_number": "580-453-1835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JESSICA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jang Kim
• Kimberly Kimmel
• David Kinback, M.S.
• Kindful Care LLC
• Kindful Hospice Ada, LLC (Choice Health at Home- Southeastern Oklahoma Hospice)
• Tyler King, DO
• Kyle Kingrey, ATC, LAT
• Virginia Pemberton Patton Kinkade, LCSW
• Mark Kirkpatrick Jr.
• William Donald Kirkpatrick

• Professional Counselor in Ada, OK
• Providers in Ada, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.