Active NPI
Jesse Loren Gall, LPC-C
- Counselor
- Oklahoma City, OK
National Provider Identifier
1194608497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PENDING
- Practice address
- 1613 SE 66TH St
Oklahoma City, OK 73149-5203 - Phone
- (918) 619-9094
- NPI assigned
- Jul 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PENDING | OK | Primary |
Addresses
Primary practice location
1613 SE 66TH St
Oklahoma City, OK 73149-5203
Mailing address
5506 Grays Peak
Enid, OK 73701-9682
Phone (918) 402-9787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | OK | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753488000000",
"number": "1194608497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5506 GRAYS PEAK",
"city": "ENID",
"state": "OK",
"postal_code": "737019682",
"telephone_number": "918-402-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 SE 66TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731495203",
"telephone_number": "918-619-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "JESSE",
"middle_name": "LOREN",
"credential": "LPC-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-26",
"last_updated": "2025-07-26",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.