Active NPI
Jadea Alacia Miller
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1730577933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC07311
- Practice address
- 1 W 36TH St N Ste 1
Tulsa, OK 74106-1703 - Phone
- (918) 425-4200
- Fax
- (918) 425-4202
- NPI assigned
- Dec 23, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC07311 | OK | Primary |
Addresses
Primary practice location
1 W 36TH St N Ste 1
Tulsa, OK 74106-1703
Mailing address
4024 W 45TH PL
Tulsa, OK 74107-6338
Phone (918) 853-1463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173057933 | Medicaid | OK |
Other names 1
- Jadea Dabney
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 |
|---|---|---|---|
| LPC07311 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine on Counseling | Professional | Current | Accepting new patients |
| Revive Counseling | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Tulsa, OK
- NPI 1386437911
-
- Professional Counselor
- Tulsa, OK
- NPI 1790335057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1730577933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 W 45TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741076338",
"telephone_number": "918-853-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W 36TH ST N STE 1",
"city": "TULSA",
"state": "OK",
"postal_code": "741061703",
"telephone_number": "918-425-4200",
"fax_number": "918-425-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JADEA",
"middle_name": "ALACIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-23",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPC07311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173057933",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JADEA",
"last_name": "DABNEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.