MR. JEFFREY DAVID PRUSA MA, LPC, LCPC
NPI 1245372424
Counselor - Professional in Vinita, OK

Active since February 13, 2007
1520 INDUSTRIAL AVE, VINITA, OK 74301(918) 256-7518(918) 256-6771 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jeffrey David Prusa Ma, Lpc, Lcpc NPPES

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

MR. JEFFREY DAVID PRUSA MA, LPC, LCPC (NPI 1245372424) is an individual professional provider in Vinita, Oklahoma, licensed in Oklahoma (4871) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1245372424
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JEFFREY DAVID PRUSACredential: MA, LPC, LCPC
Location Address1520 INDUSTRIAL AVEVinita, OK 74301-4803
Mailing Address27950 S Highway 125, Unit 13-2Monkey Island, OK 74331-3124 · (913) 526-8643
Fax(918) 256-6771
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 10, 2012
NPI 1245372424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in OK · 4871 Licensed in MO · 2006038837 Licensed in KS · 1035
1520 INDUSTRIAL AVE, Vinita, OK 74301

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 Jeffrey Prusa's NPI number?

The NPI number for Jeffrey Prusa is 1245372424. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jeffrey Prusa located?

Jeffrey Prusa practices at 1520 Industrial Ave, Vinita, OK 74301. The listed phone number is (918) 256-7518.

What is Jeffrey Prusa'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 Jeffrey Prusa was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.