Jade, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JADE, LLC

Practice address

609 W Redwood Ave
Sallisaw, OK 74955-2427

Phone

(479) 719-7847

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennie Alexa Dawn Barnes, PHD

Title

Psychologist

Phone

(479) 719-7847

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennie Alexa Dawn Barnes, PHD, LPC

  • Counseling Psychologist
  • Sallisaw, OK
  • NPI 1831536812
  NPD

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1134900038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552427",
            "telephone_number": "479-719-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552427",
            "telephone_number": "479-719-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JENNIE ALEXA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "479-719-7847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hurston, QBHP, LPC-CANDIDATE
• Innovative Behavioral Health LLC
• Donna Isabel
• Amanda Jackson
• Sarah Brook Jackson
• Jarrod Neal James, M-DIV
• Julie Jarvis, RN
• Randi Leigh John, PMHNP
• Cally Janette Johnson
• Charlotte Johnson

• Community/Behavioral Health Agency in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.