Individual ProviderJacqueline FreitasCounselorBehavioral Health & Social Service ProvidersPractice Address1025 Straka Ter, Oklahoma City, OK 73139-2544(405) 632-6688PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Freitas is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1669839502Provider TypeIndividualFull NameFreitas, JacquelineCredentialMA, LPC-SGenderFemaleSole ProprietorNoEnumeration Date1/22/2016Last Updated1/15/2025Contact InformationPractice LocationPractice Address1025 Straka Ter, Oklahoma City, OK 73139-2544Phone(405) 632-6688FaxUnlisted FaxMailing LocationMailing Address3000 N Grand Blvd, Oklahoma City, OK 73107-1818Phone(405) 632-6688FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC07027OklahomaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC07027Oklahoma