Individual provider Active NPI

Jennifier Lynn Price, LPC, LADC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1417083544
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3233 Issued in OK
Practice address
2202 E 49TH St Ste 400
Tulsa, OK 74105-8714
Phone
(918) 749-1840
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 788 OK
Mental Health Counselor 101YM0800X 3233 OK Primary

Addresses

Primary practice location

2202 E 49TH St Ste 400
Tulsa, OK 74105-8714

Mailing address

2202 E 49TH St Ste 400
Tulsa, OK 74105-8714
Phone (918) 749-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128004164 OK Practitioner - Mental Health Counselor 4385173822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2202 E 49TH St
Suite 400
Tulsa, OK 74105-8714
Phone (918) 749-1840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3233OKMDMental Health Counselor
788OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifier Price, LPC, PLLC CurrentSince Dec 20, 2024 Accepting new patients

Locations

2202 E 49th St
Ste 400
Tulsa, OK 74105
Phone (918) 645-7681

Organizations & group practices 1

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1417083544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 E 49TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741058714",
            "telephone_number": "918-749-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 E 49TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741058714",
            "telephone_number": "918-749-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JENNIFIER",
        "middle_name": "LYNN",
        "credential": "LPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "788",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.