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Deactivated NPI 1700537990 Deactivated / Inactive NPI Female Practitioner

Jesseca Moriah Collins

Counselor • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jesseca Collins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2022
NPI Deactivation Date March 07, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Jesseca Collins was a registered Counselor practicing in Tulsa, OK. Throughout an active medical career spanning 1 years, Jesseca Collins provided care at the practice location at 4103 S YALE AVE STE B until profile deactivation on 2023-03-07.

Practice Location & Contact Primary Location

Practice Address

4103 S Yale Ave Ste B

Tulsa, OK 741356002

Telephone 9183827300
Associated Practice Facility / Clinic
🏢 Creoks Mental Health Services Facility NPI 1841311289

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
917 Specialists

Practicing in Tulsa, OK (4611 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-24
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kylee Williams

Licensed Practical Nurse

NPI 1003316175
Cedric Walker

Case Manager/Care Coordinator

NPI 1003579392
Nicole Scott

Case Manager/Care Coordinator

NPI 1003586140
Sophie Cummins

Case Manager/Care Coordinator

NPI 1003708942
Seth Nandeti

Counselor - Mental Health

NPI 1023676343
Daniel Valcarcel

Case Manager/Care Coordinator

NPI 1033918958

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location March 24, 2023

Registered at 4103 S YALE AVE STE B, TULSA, OK 741356002 (Tel: 9183827300)

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Updated Business Mailing Address March 24, 2023

Registered at 8086 S YALE AVE STE 286, TULSA, OK 741369003 (Tel: 9188929670)

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Provider Name / Credentials Updated March 24, 2023

Recorded as JESSECA COLLINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2023

Case Manager/Care Coordinator

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NPI Profile Deactivated March 07, 2023

Record deactivated on March 07, 2023

NPI Profile Active January 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2022

Registered at 4103 S YALE AVE STE B, TULSA, OK 741356002 (Tel: 9183827300)

📍
Updated Business Mailing Address January 10, 2022

Registered at 8086 S YALE AVE STE 286, TULSA, OK 741369003 (Tel: 9188929670)

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Provider Name / Credentials Updated January 10, 2022

Recorded as JESSECA EDWARDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2022

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration January 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700537990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2022
Last Update: March 24, 2023
Deactivation Date: March 07, 2023
Sole Proprietor: No

Mailing Address

8086 S Yale Ave Ste 286

Tulsa, OK 741369003

Phone: 9188929670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.