Jessica Maloney PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3793 Issued in OK

Legal business name

JESSICA MALONEY PLLC

Practice address

2912 S Douglas Blvd
Midwest City, OK 73130-7179

Phone

(405) 737-1132

Fax

(405) 737-1112

NPI assigned

Aug 28, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Heather Maloney, LPC

Title

Mental Health Counselor

Phone

(405) 737-1132

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314489600000",
    "number": "1275813750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307179",
            "telephone_number": "405-737-1132",
            "fax_number": "405-737-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307179",
            "telephone_number": "405-737-1132",
            "fax_number": "405-737-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MALONEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-28",
        "last_updated": "2011-08-28",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "405-737-1132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1437296068",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2011; 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.