Organization Active NPI

Just Breathe Counseling and Assessments

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulsa, OK
National Provider Identifier
1437893773
Registry record updated Oct 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JUST BREATHE COUNSELING AND ASSESSMENTS
Practice address
6777 E 11TH St
Tulsa, OK 74112-4619
Phone
(918) 273-2843
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2023

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

Authorized official

Name
Kala Perez, M.S. M.ED.NPI 1699118158
Title
Owner/LPC-S
Phone
(918) 273-2843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6777 E 11TH St
Tulsa, OK 74112-4619

Mailing address

6777 E 11TH St
Tulsa, OK 74112-4619
Phone (918) 273-2843

Other identifiers 1

IdentifierTypeStateIssuer
201074720AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kalaperez@justbreathecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240103000865 OK Part B Supplier - Clinic/Group Practice 3971953902 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

6777 E 11th St
Tulsa, OK 74112
Phone (918) 273-2843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1437893773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 E 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741124619",
            "telephone_number": "918-273-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 E 11TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741124619",
            "telephone_number": "918-273-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST BREATHE COUNSELING AND ASSESSMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "OWNER/LPC-S",
        "authorized_official_telephone_number": "918-273-2843",
        "authorized_official_credential": "M.S. M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201074720A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kalaperez@justbreathecounseling.com",
            "affiliation": "N",
            "address_1": "6777 E 11th St",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741124619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.