Provider Demographics
NPI:1720641327
Name:ASCEND COUNSELING AND CONSULTATION SERVICES, PLLC
Entity Type:Organization
Organization Name:ASCEND COUNSELING AND CONSULTATION SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC S
Authorized Official - Phone:405-742-7326
Mailing Address - Street 1:5700 NW 127TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-4102
Mailing Address - Country:US
Mailing Address - Phone:405-742-7326
Mailing Address - Fax:
Practice Address - Street 1:508 W VANDAMENT AVE STE 204
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4666
Practice Address - Country:US
Practice Address - Phone:405-742-7326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5995OtherLPC LICENSE NUMBER