Active NPI
Jessica A Wilson, MA/LADC-MH
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1952676983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1321
- Practice address
- 3000 United Founders Blvd Ste 239
Oklahoma City, OK 73112-4294 - Phone
- (405) 265-9047
- Fax
- (405) 265-9049
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1321 | OK | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1321 | OK | Primary |
Addresses
Primary practice location
3000 United Founders Blvd Ste 239
Oklahoma City, OK 73112-4294
Mailing address
12444 NW 10TH St Ste 202
#157
Yukon, OK 73099-5845
Phone (405) 265-9047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321 | Other | OK | LADC LICENSE |
Other names 1
- Jessica A Crise
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.believrecoverycounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 9, 2025 through Apr 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1321 | OK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1952676983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12444 NW 10TH ST STE 202",
"address_2": "#157",
"city": "YUKON",
"state": "OK",
"postal_code": "730995845",
"telephone_number": "405-265-9047",
"fax_number": "405-265-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 UNITED FOUNDERS BLVD STE 239",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124294",
"telephone_number": "405-265-9047",
"fax_number": "405-265-9049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JESSICA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MA/LADC-MH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "1321",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "1321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LADC LICENSE",
"identifier": "1321",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.believrecoverycounseling.com",
"affiliation": "N",
"address_1": "12444 NW 10th St Ste 202",
"address_2": "#157",
"city": "Yukon",
"state": "OK",
"country_code": "US",
"postal_code": "730995845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CRISE",
"middle_name": "A",
"credential": "MA/LADC-MH CANDIDATE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.