Active NPI
Vickie L Keys, CERTIFIED PRSS
- Peer Specialist
- Tulsa, OK
National Provider Identifier
1225708167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2508 E 71St St Ste C
Tulsa, OK 74136-5572 - Phone
- (918) 794-6570
- Fax
- (918) 340-5189
- NPI assigned
- Sep 13, 2021
- Last updated
- Feb 15, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OK | Primary |
Addresses
Primary practice location
2508 E 71St St Ste C
Tulsa, OK 74136-5572
Mailing address
PO Box 690184
Tulsa, OK 74169-0184
Phone (539) 367-1677
Other practice location 1
1800 W Granger St Apt 2111
Broken Arrow, OK 74012-0813
Phone (539) 367-1677
Other practice location 2
5930 E 31st St Ste 500
Tulsa, OK 74135-5118
Phone (918) 983-6398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225708167 | Medicaid | OK |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TULSA | Other | |
| Other URL | BROKENARROW | Direct | |
| Other URL | Tulsa | Direct | Betty Jackson Counseling Services |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Life Counseling, LLC | Current | Accepting new patients | |
| Betty Jackson Counseling Services | Current | Accepting new patients | |
| BLJ Counseling and Consulting PC | Peer Specialist | Past | Accepting new patients |
Locations
2508 E 71st St
Ste C
Tulsa, OK 74136
Phone (918) 794-6570
Organizations & group practices 3
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.
-
- Addiction (Substance Use Disorder) Counselor
- Bartlesville, OK
- NPI 1477205391
-
- Professional Counselor
- Tulsa, OK
- NPI 1508178070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1225708167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690184",
"city": "TULSA",
"state": "OK",
"postal_code": "741690184",
"telephone_number": "539-367-1677",
"fax_number": "539-367-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 E 71ST ST STE C",
"city": "TULSA",
"state": "OK",
"postal_code": "741365572",
"telephone_number": "918-794-6570",
"fax_number": "918-340-5189"
}
],
"practiceLocations": [
{
"address_1": "1800 W Granger St Apt 2111",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740120813",
"country_code": "US",
"telephone_number": "539-367-1677",
"fax_number": "539-367-1991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5930 E 31st St Ste 500",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741355118",
"country_code": "US",
"telephone_number": "918-983-6398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYS",
"first_name": "VICKIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CERTIFIED PRSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225708167",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TULSA",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "TULSA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "TULSA",
"address_1": "5930 E 31st St Ste 500",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741355118",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BROKENARROW",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "BROKEN ARROW",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "BROKEN ARROW",
"address_1": "1800 W Granger St Apt 2111",
"city": "Broken Arrow",
"state": "OK",
"country_code": "US",
"postal_code": "740120813",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tulsa",
"affiliation": "Y",
"affiliationName": "Betty Jackson Counseling Services",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2508 E 71st St Ste C",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741365572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.