Individual provider Active NPI

Jessica Leanna Lajuan Trotter

  • Counselor
  • Shawnee, OK
National Provider Identifier
1992011142
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1336 N Harrison Ave
Shawnee, OK 74801-5206
Phone
(405) 424-7711
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

1336 N Harrison Ave
Shawnee, OK 74801-5206

Mailing address

3101 NW 150TH St Apt 24B
Oklahoma City, OK 73134-2021
Phone (405) 881-5565

Other identifiers 1

IdentifierTypeStateIssuer
103K00000XMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Mental Health Council CurrentSince Mar 1, 2024 Accepting new patients
Oklahoma Mental Health Council CurrentSince Mar 1, 2024 Accepting new patients
Jessica Trotter Counseling & Consulting, LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

4400 N Lincoln Blvd
Oklahoma City, OK 73105

1336 N Harrison Ave
Shawnee, OK 74801
Phone (405) 214-4700

5601 NW 72nd St
Unit 246F
Warr Acres, OK 73132
Phone (405) 437-4734

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1992011142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 NW 150TH ST APT 24B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342021",
            "telephone_number": "405-881-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 N HARRISON AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015206",
            "telephone_number": "405-424-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "JESSICA",
        "middle_name": "LEANNA LAJUAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103K00000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.