| Mrs Emilie Jean Smith, LPC | |
|
1923 S Utica Ave, Tulsa, OK 74104-6520 | |
| (918) 748-9868 | |
| (918) 748-9835 |
| Full Name | Mrs Emilie Jean Smith |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 1923 S Utica Ave, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831231422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3594 (Oklahoma) | Primary |
| 101YP2500X | Counselor - Professional | C1125 (Oregon) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tristesse Healing Hearts Grief | 3577824754 | 4 |
| Entity Name | Tristesse Healing Hearts Grief |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754314 PECOS PAC ID: 3577824754 Enrollment ID: O20180305000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Emilie Jean Smith, LPC 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 633-2339 | Mrs Emilie Jean Smith, LPC 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 748-9868 |
Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004 | |
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263 | |
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001 | |
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106 | |
Deborah Susan Farber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7633 E 63rd Pl Ste 300, Tulsa, OK 74133 Phone: 539-207-2036 | |
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259 | |
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Accepting Medicare Assignments Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966 |