Healthcare Provider Details

I. General information

NPI: 1609504786
Provider Name (Legal Business Name): T.E.S.S. COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S BOULEVARD STE B
EDMOND OK
73013-5174
US

IV. Provider business mailing address

1700 S BOULEVARD STE B
EDMOND OK
73013-5174
US

V. Phone/Fax

Practice location:
  • Phone: 405-215-9151
  • Fax: 405-938-0988
Mailing address:
  • Phone: 405-215-9151
  • Fax: 405-938-0988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER ANN BLUME
Title or Position: OWNER
Credential: LCSW
Phone: 405-215-9151