Individual provider Active NPI

Jeremy Robert Oosco, PH.D. M.DIV. LCPC

  • Pastoral Counselor
  • Oklahoma City, OK
National Provider Identifier
1407278542
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
101YP1600X Issued in OK
Practice address
628 SE 30TH St
Oklahoma City, OK 73129-4904
Phone
(405) 413-0276
NPI assigned
Jan 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 101YP1600X OK Primary
Pastoral Counselor 101YP1600X 16544 FL

Addresses

Primary practice location

628 SE 30TH St
Oklahoma City, OK 73129-4904

Mailing address

628 SE 30TH St
Oklahoma City, OK 73129-4904
Phone (405) 413-0276

Other names 1

  • Dr. Jeremy Robert Orosco Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
101YP1600XOKMDPastoral Counselor
16544FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1407278542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SE 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731294904",
            "telephone_number": "405-413-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SE 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731294904",
            "telephone_number": "405-413-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOSCO",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D. M.DIV. LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-08",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OK",
            "license": "101YP1600X",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "16544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "OROSCO",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "PH.D. M.DIV. LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 6, 2015; 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.