MS. JACKIE D JORDAN MA, LADC
NPI 1114263001
Psychologist - Addiction (Substance Use Disorder) in Oklahoma City, OK

Q: What is Jackie Jordan's NPI number?

The NPI number for Jackie Jordan is 1114263001. It was assigned to this individual provider in the NPPES registry on December 20, 2012.

Q: What is Jackie Jordan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Jordan was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2012

3700 N CLASSEN BLVD, SUITE C-55, OKLAHOMA CITY, OK 73118(405) 605-0881(405) 605-0879 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Jackie D Jordan Ma, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACKIE D JORDAN MA, LADC (NPI 1114263001) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (490) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1114263001

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameMS. JACKIE D JORDANCredential: MA, LADC

Location Address3700 N CLASSEN BLVD, SUITE C-55Oklahoma City, OK 73118-2872

Mailing Address3700 N Classen Blvd, Suite C-55Oklahoma City, OK 73118-2872 · (405) 605-0881 · Fax (405) 605-0879

Phone(405) 605-0881

Fax(405) 605-0879

Sole ProprietorYes

Enumeration DateDecember 20, 2012

✔ NPI 1114263001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in OK · 490

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

3700 N CLASSEN BLVD, Oklahoma City, OK 73118

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON L CHAVERS

Case Manager/Care Coordinator

3700 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 664-6993

MARCUS LEWIS

Counselor

3700 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 606-8803

SECOND WIND RECOVERY AND SUPPORT SERVICES PLLC

Community/Behavioral Health

3700 N CLASSEN BLVD, SUITE C-55
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 605-0881

WILLIE A SELLERS

Counselor (Mental Health)

3700 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 514-3545

INSTILLING HOPE & WELLNESS LLC

Community/Behavioral Health

3700 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 225-1891

KENYA R FREELEN BA

Counselor (Addiction (Substance Use Disorder))

3700 N CLASSEN BLVD, 240
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 606-8406

EMILY ROSE LINSKY

Counselor (Mental Health)

3700 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 225-1891

PREMIER BEHAVIORAL HEALTH & THERAPEUTIC SERVICES

Community/Behavioral Health

3700 N CLASSEN BLVD, C35
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 606-8883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Jordan's NPI number?

The NPI number for Jackie Jordan is 1114263001. It was assigned to this individual provider in the NPPES registry on December 20, 2012.

Where is Jackie Jordan located?

Jackie Jordan practices at 3700 N Classen Blvd Suite C-55, Oklahoma City, OK 73118. The listed phone number is (405) 605-0881.

What is Jackie Jordan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Jordan was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.