JACKALOPE THERAPY is a counselor in Moore, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. JACKALOPE THERAPY NPI is 1629942917. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1119 LEAFHURST RD MOORE, OK ZIP 73160-533 Phone: (405) 237-5696
The provider's authorized official is Jennifer Blume . The authorized official title is Owner and has the following contact phone number (405) 237-5696.
The enumeration date for this NPI number is 10/1/2025 and was last updated on 10/16/2025.
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:
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: 11/21/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
