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JEREMY NELSON
NPI 1790087104
Counselor - Mental Health in Ada, OK

Active since November 18, 2010

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Nelson NPPES

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

JEREMY NELSON (NPI 1790087104) is an individual mental health provider in Ada, Oklahoma and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1790087104
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY NELSON
Location Address111 E 12TH STAda, OK 74820-6501
Mailing Address111 E 12th StAda, OK 74820-6501 · (580) 436-2690
Phone(580) 436-2690
Sole ProprietorNo
Enumeration DateNovember 18, 2010
✔ NPI 1790087104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 E 12TH ST, Ada, OK 74820
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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.

JESSICA LEA SHORES M.S.W
Counselor
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
TAYLOR RINEHART
Peer Specialist
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
KARA L MCDANIEL
Counselor (Mental Health)
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
JADE LAURYN-ASHLEE HAYES BS
Case Manager/Care Coordinator
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
ASHLEY JAMES
Counselor (Mental Health)
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
REBECCA LYNN MARION RN
Registered Nurse
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
MR. BRIAN LLOYD MINCHER
Health Educator
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-5539
MRS. LINDA MARIE ESTES M.ED., LPC, CM-A
Counselor (Professional)
111 E 12TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690

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 Jeremy Nelson's NPI number?

The NPI number for Jeremy Nelson is 1790087104. It was assigned to this individual provider in the NPPES registry on November 18, 2010.

Where is Jeremy Nelson located?

Jeremy Nelson practices at 111 E 12th St, Ada, OK 74820. The listed phone number is (580) 436-2690.

What is Jeremy Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Nelson was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.