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JAKE WILLARD MA
NPI 1215613088
Counselor - Mental Health in Edmond, OK

Active since June 26, 2023
13707 FAIRHILL AVE, EDMOND, OK 73013(405) 607-4041(405) 463-0090 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Willard Ma NPPES

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

JAKE WILLARD MA (NPI 1215613088) is an individual mental health provider in Edmond, Oklahoma, licensed in Oklahoma (LPCCANDIDATE11434) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1215613088
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE WILLARDCredential: MA
Location Address13707 FAIRHILL AVEEdmond, OK 73013
Mailing Address13707 Fairhill AveEdmond, OK 73013 · (405) 607-4041 · Fax (405) 463-0090
Phone(405) 607-4041
Fax(405) 463-0090
Sole ProprietorYes
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1215613088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · LPCCANDIDATE11434
13707 FAIRHILL AVE, Edmond, OK 73013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARK ALLEN MCCULLOUGH MA, LADC-MH CAND
Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
PATHWAYS PROFESSIONAL COUNSELING LLC
Community/Behavioral Health
13707 FAIRHILL AVE
OKLAHOMA CITY, OK 73013
Oklahoma County (405) 607-4041
MATTHEW HEWES
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
TYRA WILLIAMS
Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
PATHWAYS MEDICAL LLC
Clinic/Center (Primary Care)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
CHELSEA SUTTON LPC CANDIDATE
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (808) 227-3466
STACY ZENO
Peer Specialist
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
HEATHER RANDALL RN
Registered Nurse
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 412-3494

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 Jake Willard's NPI number?

The NPI number for Jake Willard is 1215613088. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Jake Willard located?

Jake Willard practices at 13707 Fairhill Ave, Edmond, OK 73013. The listed phone number is (405) 607-4041.

What is Jake Willard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jake Willard accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Jake Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Willard was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.