=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194680819
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JESSICA G COZORT HIPLEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2600 VAN BUREN ST STE 2602
-----------------------------------------------------
City | NORMAN
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73072-5609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-625-7579
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1042 COUNTY STREET 2945
-----------------------------------------------------
City | TUTTLE
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73089-3125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-730-8959
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------