IndividualActive
Ronnie Jestes, C.A.D.C
NPI 1104042563 · Addiction (Substance Use Disorder) Counselor · Pawnee, OK
Provider details
- NPI number
- 1104042563
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- C.A.D.C
- Sex
- Male
- Sole proprietor
- No
- License
- 65 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Denver St
Pawnee, OK 74058-3522
Phone: (918) 762-3686
Fax: (915) 762-2617
Street-level locationGet directions
Mailing address
45470 S 349 Rd
Pawnee, OK 74058-1060
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.