The Evolution of Her

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE EVOLUTION OF HER

Practice address

4867 S Sheridan Rd Ste 712a
Tulsa, OK 74145-5721

Phone

(918) 550-5958

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By 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

Jennifer D. Rodriguez, L P CNPI 1356763510

Title

Owner

Phone

(918) 407-9803

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jennifer Diane Rodriguez

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1356763510
  Authorized official Same address or phone
• Ashley Jane Runnells, NCC, LPC-C

  • Counselor
  • Tulsa, OK
  • NPI 1437761004
  NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1285391797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 S SHERIDAN RD STE 712A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455721",
            "telephone_number": "918-550-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 S SHERIDAN RD STE 712A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455721",
            "telephone_number": "918-550-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVOLUTION OF HER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-407-9803",
        "authorized_official_credential": "L P C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.