Blue Heaven Therapy, L.L.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLUE HEAVEN THERAPY, L.L.C.

Doing business as

Jennifer Cheatham, LPC

Practice address

400 Timmons St.
Seminole, OK 74868

Phone

(405) 220-7165

Fax

(405) 382-2890

NPI assigned

Sep 8, 2021

Last updated

Aug 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Cheatham, MSPS, LPC

Title

Director

Phone

(405) 220-7165

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Cheatham, LPC Doing business as

Locations

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1750050217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 LEWIS AVE",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748683615",
            "telephone_number": "405-220-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TIMMONS ST.",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "74868",
            "telephone_number": "405-220-7165",
            "fax_number": "405-382-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEAVEN THERAPY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-220-7165",
        "authorized_official_credential": "MSPS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200723390B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Cheatham, LPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jennifer Cheatham, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Vanessa Andrews, LPC
• Javaria Asif, M.D.
• Baptist Healthcare of Oklahoma Inc (INTEGRIS Seminole Anesthesia Services)
• Bestyet Pharmacy
• Jaden Wayne Birch, DMD
• Shelby Bolen
• Kristen Bomboy, APRN CNP
• Tony Gomes Borba Jr.
• Branish Dashawn Bowen
• Shelby Bowen

• Professional Counselor in Seminole, OK
• Providers in Seminole, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.