Jesseca Moriah Collins

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002

Phone

(918) 382-7300

NPI assigned

Jan 10, 2022

Reactivated

Mar 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1700537990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8086 S YALE AVE STE 286",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741369003",
            "telephone_number": "918-892-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356002",
            "telephone_number": "918-382-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JESSECA",
        "middle_name": "MORIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "deactivation_date": "2023-03-07",
        "reactivation_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Michelle Collins
• Herbert L Collins II
• Hunter Collins
• Jamie Lynn Collins
• Jazmine M Collins
• Karlie Ann Collins, LPC-C
• Lester Lee Collins
• Lynda Lea Collins
• Madison Leigh Collins, DO
• Marchell Marie Collins, PT

• All providers in Tulsa, OK
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.