Autizen Therapy PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

AUTIZEN THERAPY PLLC

Practice address

8092 S Yale Ave
Tulsa, OK 74136-9003

Phone

(918) 558-0338

NPI assigned

May 16, 2025

Organization subpart

No

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

Authorized official

Name

Jaq Zuidema, LCSWNPI 1043749310

Title

Owner

Phone

(918) 558-0338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaq L Zuidema, LCSW, ASDCS, TIYT

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1043749310
  NPD Authorized official

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1700677804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W MONTROSE AVE # 790",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412140",
            "telephone_number": "918-558-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8092 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741369003",
            "telephone_number": "918-558-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTIZEN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "ZUIDEMA",
        "authorized_official_first_name": "JAQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-558-0338",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Austin
• Joshua Autaubo, DO
• Tayana Marie Autaubo
• Laura Auten, M.S., CCC-SLP
• Authentic Counseling, LLC
• Tolissa Autry, MHR
• Autumnbridge Southwest LLC
• Auxarc Imc, Inc
• Avalon Park Pediatrics
• Kevin Avalos

• All providers in Tulsa, OK
• Adult Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.