Active NPI
Jeremy David Ferguson, MA, LMFT-US
- Counselor
- Tulsa, OK
National Provider Identifier
1508204249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3015 E Skelly Dr
Suite 103
Tulsa, OK 74105-6317 - Phone
- (918) 712-0859
- NPI assigned
- Jun 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3015 E Skelly Dr
Suite 103
Tulsa, OK 74105-6317
Mailing address
3015 E Skelly Dr
Suite 103
Tulsa, OK 74105-6317
Phone (918) 712-0859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1508204249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR",
"address_2": "SUITE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741056317",
"telephone_number": "918-712-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR",
"address_2": "SUITE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741056317",
"telephone_number": "918-712-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JEREMY",
"middle_name": "DAVID",
"credential": "MA, LMFT-US",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-04",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.