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JESSICA A ROSS
NPI 1205365087
Counselor - Professional in Broken Arrow, OK

Active since June 06, 2017
2548 E KENOSHA ST, BROKEN ARROW, OK 74014(618) 623-9089 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2026, Jul 21, 2022, Jun 6, 2017 (3 updates tracked since 2017).

About Jessica A Ross NPPES

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

JESSICA A ROSS (NPI 1205365087) is an individual professional provider in Broken Arrow, Oklahoma and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1205365087
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA A ROSS
Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712
Mailing Address2548 E Kenosha StBroken Arrow, OK 74014-6712
Phone(618) 623-9089
Sole ProprietorNo
Enumeration DateJune 6, 2017
Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1205365087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2548 E KENOSHA ST, Broken Arrow, OK 74014
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Other Identifiers 1

Medicaid200323940OK

Other Providers at the Same Location NPPES 20

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

GABRIELLA VELIZ
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MRS. HADEACHA A SMITH
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
WADE BAILEY POTTER
Counselor
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MR. CHAD SHINER MCDANIEL
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300
STHEMBISO MITCHELLE MASEKO
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
REBEKAH FAITH-MARIE WEBSTER
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0995
CHERLINE CARMEN NELSON
Clinic/Center (Mental Health (Including Community Mental Health Center))
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
BETHANY LEIGH NOBLE
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993

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 Ross's NPI number?

The NPI number for Jessica Ross is 1205365087. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Jessica Ross located?

Jessica Ross practices at 2548 E Kenosha St, Broken Arrow, OK 74014. The listed phone number is (618) 623-9089.

What is Jessica Ross's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Ross was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.