Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacen Byrd

Individual provider Counselor · NPI 1871081935

Mr. Jacen Byrd is a Mental Health Counselor in Tulsa, Oklahoma. Qualified in 2019, 7 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2018
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Practice location Address checks out

7010 S Yale Ave
Tulsa, OK 74136-5713
Phone: (918) 236-4176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1871081935
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESApril 24, 2018
Mailing address7010 S Yale Ave, Tulsa, OK 74136-5713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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