Active NPI
Just Breathe Counseling and Assessments
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
National Provider Identifier
1437893773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201074720A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kalaperez@justbreathecounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Coweta, OK
- NPI 1699118158
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.