Active NPI
Jo Ellen Beard, DR.
- Clinical Psychologist
- Tulsa, OK
National Provider Identifier
1508990714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 271
- Practice address
- 1221 E 33Rd St Ste 100
Tulsa, OK 74105-2046 - Phone
- (918) 744-7909
- Fax
- (918) 744-7808
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 271 | OK | Primary |
Addresses
Primary practice location
1221 E 33Rd St Ste 100
Tulsa, OK 74105-2046
Mailing address
1221 E 33Rd St Ste 100
Tulsa, OK 74105-2046
Phone (918) 744-7909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100839420A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Aging Counseling and Consulting, LLC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Tulsa, OK
- NPI 1992210595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508990714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 E 33RD ST STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741052046",
"telephone_number": "918-744-7909",
"fax_number": "918-744-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E 33RD ST STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741052046",
"telephone_number": "918-744-7909",
"fax_number": "918-744-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "JO",
"middle_name": "ELLEN",
"credential": "DR.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100839420A",
"state": "OK"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.