Jessica Roberson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

102 N Elm PL Ste N
Broken Arrow, OK 74012-3883

Phone

(918) 869-0550

NPI assigned

Nov 30, 2023

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

Other names 1

• Jessica Strickland Former name

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

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brighter Horizons Counseling LLCGroup PAC ID 5395185003, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brighter Horizons Counseling LLC

  • Counselor
  • Broken Arrow, OK
  • NPI 1992453609
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1184490120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N ELM PL STE N",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ELM PL STE N",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123883",
            "telephone_number": "918-869-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STRICKLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Elizabeth Rivas, D.C.
• RMC Therapy PLLC
• Griffith Mark Roach
• Shanita Shahreen Rob, MA, RD, LD
• Kayla Robbins
• Robert Hogg DO PLLC
• Amy Denise Roberts, OT
• Ashley Michelle Roberts
• Audrey Roberts
• Hunter Kristian Roberts, PTA

• Clinical Social Worker in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.