NPIMap

Individual provider Active NPI

Jenifer Anne Queen, LPC-S, NCC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1649516709
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4769 Issued in OK
Practice address
5332 S Memorial Dr Ste 300
Tulsa, OK 74145-9000
Phone
(918) 895-8044
Fax
(918) 895-8056
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 4769 OK Primary

Addresses

Primary practice location

5332 S Memorial Dr Ste 300
Tulsa, OK 74145-9000

Mailing address

5332 S Memorial Dr Ste 300
Tulsa, OK 74145-9000
Phone (918) 895-8044

Other practice location 1

2604 W Kenosha St Ste 217
Broken Arrow, OK 74012-8955
Phone (918) 957-1111

Other names 1

  • Ms. Jenifer Anne Garrett Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Drue Day Counseling, LLC Professional PastSince Dec 1, 2020 Accepting new patients
Let'S Talk, LLC Past Accepting new patients

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": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1649516709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 S MEMORIAL DR STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459000",
            "telephone_number": "918-895-8044",
            "fax_number": "918-895-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 S MEMORIAL DR STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459000",
            "telephone_number": "918-895-8044",
            "fax_number": "918-895-8056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2604 W Kenosha St Ste 217",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740128955",
            "country_code": "US",
            "telephone_number": "918-957-1111",
            "fax_number": "918-957-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "JENIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "GARRETT",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.