Individual provider Active NPI

Jamie Lynn Tyler, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1457597643
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4478 Issued in OK
Practice address
1620 E 12TH St
Tulsa, OK 74120-5407
Phone
(918) 582-2131
Fax
(918) 588-8859
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4478 OK Primary

Addresses

Primary practice location

1620 E 12TH St
Tulsa, OK 74120-5407

Mailing address

650 S Peoria Ave
Tulsa, OK 74120-4429

Other practice location 1

7806 E 108th St
Tulsa, OK 74133-7412
Phone (918) 296-7746

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
I20250116002560 OK Practitioner - Mental Health Counselor 4183152226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Hall'S Anchor of HopeGroup PAC ID 0345777843, 3 clinicians

Practice addresses (Care Compare)

4416 W Houston St
Broken Arrow, OK 74012-4645
Phone (918) 288-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Halls Anchor of Hope CurrentSince Nov 2, 2024 Accepting new patients
Family & Children'S Services, Inc Past Accepting new patients
Family & Children'S Services, Inc Past Accepting new patients

Locations

4416 W Houston St
Broken Arrow, OK 74012
Phone (918) 288-0027

Organizations & group practices 3

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1457597643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 12TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205407",
            "telephone_number": "918-582-2131",
            "fax_number": "918-588-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7806 E 108th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741337412",
            "country_code": "US",
            "telephone_number": "918-296-7746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.