JESSICA KING MS, LPC
NPI 1063880490
Counselor - Professional in Ada, OK

Active since September 02, 2015PECOS Enrolled
2100 N BROADWAY AVE, ADA, OK 74820(580) 436-7120 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica King Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KING MS, LPC (NPI 1063880490) is an individual professional provider in Ada, Oklahoma, licensed in Oklahoma (6701) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ada, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063880490
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA KINGCredential: MS, LPC
Location Address2100 N BROADWAY AVEAda, OK 74820-1048
Mailing Address2102 N Broadway AveAda, OK 74820-1048 · (580) 453-1835
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 2, 2015
Last NPPES UpdateMay 16, 2019
✔ NPI 1063880490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 6701
2100 N BROADWAY AVE, Ada, OK 74820

Secondary Practice Location 1

Location 12102 N Broadway AveAda, OK 74820-1048 · Phone (580) 453-1835

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica King Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355799396
PECOS Enrollment IDI20231130002864
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
2100 N BROADWAY AVE
Ada, OK 74820
  • Reassigned Medicare billing, Oklahoma enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Massage Therapist
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Social Worker (Clinical)
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Psychologist (Health Service)
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica King's NPI number?

The NPI number for Jessica King is 1063880490. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Jessica King located?

Jessica King practices at 2100 N Broadway Ave, Ada, OK 74820. The listed phone number is (580) 436-7120.

What is Jessica King's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica King enrolled in Medicare?

Yes. Jessica King is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica King reassigns Medicare benefits to Biofeedback & Counseling, Inc. (Ada, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica King accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Jessica King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica King was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.