Active NPI
Rosetta Denise Jones
- Counselor
- Oklahoma City, OK
National Provider Identifier
1669798468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1578690137
- Practice address
- 3621 N Kelley Ave
100
Oklahoma City, OK 73111-4520 - Phone
- (405) 524-5525
- Fax
- (405) 524-5528
- NPI assigned
- Apr 19, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1578690137 | OK | Primary |
Addresses
Primary practice location
3621 N Kelley Ave
100
Oklahoma City, OK 73111-4520
Mailing address
1815 1/2 NW 22ND St
Oklahoma City, OK 73106-3857
Phone (405) 557-1490
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 |
|---|---|---|---|
| 1578690137 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1669798468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 1/2 NW 22ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731063857",
"telephone_number": "405-557-1490",
"fax_number": "405-424-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 N KELLEY AVE",
"address_2": "100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731114520",
"telephone_number": "405-524-5525",
"fax_number": "405-524-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ROSETTA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "1578690137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.