Tattooed Therapist PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TATTOOED THERAPIST PLLC

Practice address

2225 Fountain Lake Ave # B203
Enid, OK 73703-4153

Phone

(405) 299-5797

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By 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

Jessica Taylor

Title

Therapist

Phone

(405) 299-5797

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jessica Jenkins, LPC,LADC/MH

  • Mental Health Counselor
  • Sheridan, WY
  • NPI 1801361324
  NPD (past)

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1407565500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 FOUNTAIN LAKE AVE # B203",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 FOUNTAIN LAKE AVE # B203",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034153",
            "telephone_number": "405-299-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTOOED THERAPIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-299-5797"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmood Khawaja Syed, MD
• Rebecca Dawn Szewczak, D.O.
• Aiyanna Tahbonemah McNeill
• Jessica Denise Tarango, PHARMACIST
• Tatooed Coach LLC
• Bill Edward Taylor, DDS
• Christopher Randall Taylor
• Glenn Doyle Taylor, DO
• Mark Taylor
• Lee Scott Tefft, D.D.S.

• Mental Health Counselor in Enid, OK
• Providers in Enid, 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 17, 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.

Verify at the official NPI Registry.