Active NPI
Jasmine Quinette Thomas-Adams
- Behavior Analyst
- Shawnee, OK
National Provider Identifier
1649756941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72655
- Practice address
- 3954 N Kickapoo Ave Ste 1-3
Shawnee, OK 74804-1698 - Phone
- (405) 857-8280
- NPI assigned
- Jul 19, 2018
- 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 | |||
| Behavior Analyst | 103K00000X | 1-24-72655 | OK | Primary |
Addresses
Primary practice location
3954 N Kickapoo Ave Ste 1-3
Shawnee, OK 74804-1698
Mailing address
3954 N Kickapoo Ave Ste 1-3
Shawnee, OK 74804-1698
Phone (405) 857-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891884110 | 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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid'S Choice Therapies, LLC | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1649756941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3954 N KICKAPOO AVE STE 1-3",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041698",
"telephone_number": "405-857-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3954 N KICKAPOO AVE STE 1-3",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041698",
"telephone_number": "405-857-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-ADAMS",
"first_name": "JASMINE",
"middle_name": "QUINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2024-05-09",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-24-72655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891884110",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.