JESSICA LEA SHORES (NPI# 1023215563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023215563 |
| Entity Type | Individual |
| Full Name | JESSICA LEA SHORES |
| Credential | M.S.W |
| Practice Address |
111 E 12th St Ada OK 74820-6501 |
| Practice Telephone | 5804362690 |
| Mailing Telephone | 5804362690 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2008-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MENTAL HEALTH | 10 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| Street Address |
111 E 12TH ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992841100 | Mental Health Services of Southern Oklahoma | Case Management | 111 E 12th St, Ada, OK 74820-6501 | 2007-01-29 |
| 1104383231 | Jade Lauryn-ashlee Hayes | Case Manager/Care Coordinator | 111 E 12th St, Ada, OK 74820-6501 | 2019-02-25 |
| 1326564162 | Valarie S Savage | Peer Specialist | 111 E 12th St, Ada, OK 74820-6501 | 2017-08-14 |
| 1861923237 | Melissa Bevill | Counselor | 111 E 12th St, Ada, OK 74820-6501 | 2017-03-27 |
| 1013455732 | Lysonia Martin | Registered Nurse | 111 E 12th St, Ada, OK 74820-6501 | 2017-02-01 |
| 1861935587 | Lonnie Carbaugh | Counselor | 111 E 12th St, Ada, OK 74820-6501 | 2016-11-29 |
| 1134661382 | Rebecca Lynn Marion | Registered Nurse | 111 E 12th St, Ada, OK 74820-6501 | 2016-11-04 |
| 1720530330 | Cody Scott | Peer Specialist | 111 E 12th St, Ada, OK 74820-6501 | 2016-10-30 |
| 1023560828 | Taylor Rinehart | Peer Specialist | 111 E 12th St, Ada, OK 74820-6501 | 2016-10-27 |
| 1891153094 | Lorianne Towers | Counselor | 111 E 12th St, Ada, OK 74820-6501 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548720 | Christopher Klein | Counselor | Christopher Klein, 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-11-03 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1750738621 | Carissa O'dell | Counselor | 14121 County Road 3590, Ada, OK 74820-5327 | 2016-05-19 |
| 1831556091 | Mario Gibson Franciscotty | Counselor | 6200 Egypt Valley Ct Ne, Ada, MI 49301-9660 | 2016-01-19 |
| 1154786176 | Toni Chappell | Counselor | 526 N New Bethel Blvd, Ada, OK 74820-0311 | 2015-12-17 |
| 1518372929 | Stacy Carol Prewitt | Counselor | 1300 Hoppe Blvd Ste 6, Ada, OK 74820-2319 | 2014-06-24 |
| 1003245382 | Sydney Caitlin Manning | Counselor | 329 W 1st St, Ada, OK 74820 | 2013-11-06 |
| 1104195296 | Carmaleta S Mcquay | Counselor | 126 N Oak Ave, Ada, OK 74820-4851 | 2011-12-20 |
| 1609156124 | Troy K Gould | Counselor | 324 Se County Rd, Ada, OK 74820-7207 | 2011-08-29 |
| 1710280698 | Lisa John | Counselor | 124 S Broadway Ave Ste 200, Ada, OK 74820-5825 | 2010-12-14 |
| Find all providers in ADA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.