Active NPI
D. Jesse Bruesch, LPC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1902352545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2408005
- Practice address
- 6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077 - Phone
- (918) 960-7852
- Fax
- (539) 664-5738
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 06981 | OK | |
| Professional Counselor | 101YP2500X | P2408005 | AR | Primary |
Addresses
Primary practice location
6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Mailing address
19 N 5TH St # 201
Fort Smith, AR 72901-2137
Phone (918) 344-7262
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06981 | OK | MD | Counselor |
| P2408005 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Pathways Unlimited Inc | Current | Accepting new patients | |
| Improving Lives Counseling Services, Inc. | Current | Accepting new patients |
Locations
4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791
212 E Creek Ave
Sallisaw, OK 74955
6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531
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.
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1659328284
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1487967444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1902352545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 N 5TH ST # 201",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729012137",
"telephone_number": "918-344-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 S LEWIS AVE STE 180",
"city": "TULSA",
"state": "OK",
"postal_code": "741361077",
"telephone_number": "918-960-7852",
"fax_number": "539-664-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUESCH",
"first_name": "D. JESSE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "06981",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2408005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.