| T.E.S.S. Counseling | |
|
1700 S Boulevard Ste B Edmond OK 73013-5174 | |
| (405) 215-9151 | |
| (405) 938-0988 |
| Full Name | T.E.S.S. Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1700 S Boulevard Ste B, Edmond, Oklahoma |
| Authorized Official Name and Position | Jennifer Ann Blume (OWNER) |
| Authorized Official Contact | 4052159151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T.E.S.S. Counseling 1700 S Boulevard Ste B Edmond OK 73013-5174 Ph: (405) 215-9151 | T.E.S.S. Counseling 1700 S Boulevard Ste B Edmond OK 73013-5174 Ph: (405) 215-9151 |
| NPI Number | 1609504786 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 04/14/2026 |
| Certification Date | 04/14/2026 |
| Medicare PECOS PAC ID | 7810342789 |
|---|---|
| Medicare Enrollment ID | O20231012001273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609504786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| Provider Name | Luke M Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235785866 PECOS PAC ID: 0244685113 Enrollment ID: I20231012002803 |
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