Active NPI
Lisette Jones, LPC-C
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1609469600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 650 S Peoria Ave
Tulsa, OK 74120-4429 - Phone
- (918) 587-9471
- Fax
- (918) 587-9471
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Behavior Technician | 106S00000X | RBT21-156600 | OK |
Addresses
Primary practice location
650 S Peoria Ave
Tulsa, OK 74120-4429
Mailing address
650 S Peoria Ave
Tulsa, OK 74120-4429
Phone (918) 587-9471
Other practice location 1
600 Liberty Ln
Edmond, OK 73034-9432
Phone (918) 410-9668 ext. 91841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822465485 | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbishop@bluesprigpediatrics.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT21-156600 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1609469600",
"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",
"telephone_number": "918-587-9471",
"fax_number": "918-560-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204429",
"telephone_number": "918-587-9471",
"fax_number": "918-587-9471"
}
],
"practiceLocations": [
{
"address_1": "600 Liberty Ln",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730349432",
"country_code": "US",
"telephone_number": "918-410-9668 x91841",
"fax_number": "918-512-4087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "LISETTE",
"credential": "LPC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "RBT21-156600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822465485",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbishop@bluesprigpediatrics.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "600 Liberty Ln",
"city": "Edmond",
"state": "OK",
"country_code": "US",
"postal_code": "730349432",
"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 Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.