Individual provider Active NPI

Jacqueline Freitas, MA, LPC-S

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1669839502
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC07027 Issued in OK
Practice address
5100 N Brookline Ave Ste 300
Oklahoma City, OK 73112-3614
Phone
(405) 659-0917
NPI assigned
Jan 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC07027 OK
Professional Counselor 101YP2500X LPC07027 OK Primary

Addresses

Primary practice location

5100 N Brookline Ave Ste 300
Oklahoma City, OK 73112-3614

Mailing address

5100 N Brookline Ave Ste 300
Oklahoma City, OK 73112-3614
Phone (405) 659-0917

Other names 1

  • Jacqueline Freitas Vital Former name

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
I20240221000972 OK Practitioner - Mental Health Counselor 2365865540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 N Grand Blvd
Oklahoma City, OK 73107-1818

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Women'S Health, LLC CurrentSince Jan 15, 2025 Accepting new patients
Collaborative Counseling and Training Mental Health PastSince Jan 28, 2024 Accepting new patients

Locations

755 W Covell Rd
Ste 100
Edmond, OK 73003
Phone (866) 620-9303

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1669839502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123614",
            "telephone_number": "405-659-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123614",
            "telephone_number": "405-659-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "JACQUELINE",
        "credential": "MA, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPC07027",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC07027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FREITAS VITAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.