JACK SMITH NPI 1669885687

NPI Information

NPI: 1669885687
Provider Name: JACK SMITH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
933 SW 3RD ST
MOORE, OK
ZIP 73160
Phone: (405) 822-1424
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Jack Smith is a mental health counselor in Moore, OK. Jack Smith NPI is 1669885687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

933 SW 3RD ST
MOORE, OK
ZIP 73160-261
Phone: (405) 822-1424

The enumeration date for this NPI number is 6/6/2014 and was last updated on 3/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	101YM0800X	Counselor	Mental Health	LPC07653	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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