Individual provider Active NPI

Jeana Tiger

  • Professional Counselor
  • Shawnee, OK
National Provider Identifier
1639568355
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6497 Issued in OK
Practice address
33207 45TH St
Shawnee, OK 74804-3423
Phone
(405) 432-4132
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 6497 OK Primary

Addresses

Primary practice location

33207 45TH St
Shawnee, OK 74804-3423

Mailing address

33007 45TH St
Shawnee, OK 74804-3429

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
I20241111003962 OK Practitioner - Mental Health Counselor 1153855374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6497OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Mental Health Services, LLC CurrentSince Nov 1, 2024 Accepting new patients
Focus Counseling, LLC Past Accepting new patients

Locations

905 E Wilson St
Shawnee, OK 74804
Phone (405) 214-0116

Organizations & group practices 2

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1639568355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33007 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33207 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043423",
            "telephone_number": "405-432-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGER",
        "first_name": "JEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.