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JIM WALLACE AND ASSOCIATES INC.
NPI 1194860247
Community/Behavioral Health in Ardmore, OK

Active since February 20, 2007
301 W MAIN ST STE 618, ARDMORE, OK 73401(580) 224-2830(405) 665-6396 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2026, Sep 8, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Jim Wallace And Associates Inc. NPPES

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

JIM WALLACE AND ASSOCIATES INC. (NPI 1194860247), doing business as The Jetty Counseling Center, is a healthcare organization registered as a community/behavioral health in Ardmore, Oklahoma and active in the NPI registry since February 2007. The organization lists Teresa Gale Rue-wallace, Owner/ceo/president/exec. Director, as its authorized official.

NPPES Registry Identity

NPI1194860247
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJIM WALLACE AND ASSOCIATES INC.
Location Address301 W MAIN ST STE 618Ardmore, OK 73401-6337
Mailing Address202 S Washita AveWynnewood, OK 73098-7820 · (405) 665-4385 · Fax (405) 665-6396
Phone(580) 224-2830
Fax(405) 665-6396
Organization SubpartNo
Authorized OfficialTeresa Gale Rue-wallaceOwner/ceo/president/exec. Director · (405) 306-8511
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1194860247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
301 W MAIN ST STE 618, Ardmore, OK 73401
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Other Names 1

Doing Business AsThe Jetty Counseling Center

Other Identifiers 1

Medicaid100749080COK

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 Jim Wallace And Associates Inc.'s NPI number?

The NPI number for Jim Wallace And Associates Inc. is 1194860247. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as The Jetty Counseling Center.

Where is Jim Wallace And Associates Inc. located?

Jim Wallace And Associates Inc. is located at 301 W Main St Ste 618, Ardmore, OK 73401. The listed phone number is (580) 224-2830.

What is Jim Wallace And Associates Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jim Wallace And Associates Inc. was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.