Individual provider Active NPI

Kelsey Shea Romig, LPC

  • Counselor
  • Jenks, OK
National Provider Identifier
1366889073
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
124 N 1St St
Jenks, OK 74037-3912
Phone
(918) 995-7405
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

124 N 1St St
Jenks, OK 74037-3912

Mailing address

124 N 1St St
Jenks, OK 74037-3912
Phone (918) 995-7405

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

OrganizationSpecialtyStatusNew patients
Orange Sky Counseling, LLC Counselor CurrentSince Dec 18, 2022 Accepting new patients
Family & Children'S Services, Inc Past Accepting new patients
Family & Children'S Services, Inc Past Accepting new patients

Locations

7134 S Yale Ave
Ste 540
Tulsa, OK 74136
Phone (918) 289-6329

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1366889073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 1ST ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373912",
            "telephone_number": "918-995-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 1ST ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373912",
            "telephone_number": "918-995-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMIG",
        "first_name": "KELSEY",
        "middle_name": "SHEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.