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JORDAN ROBERT REYNOLDS
NPI 1568740405
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ada, OK

Active since July 26, 2011
1300 HOPPE BLVD STE 6, ADA, OK 74820(580) 399-7653 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jordan Robert Reynolds NPPES

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

JORDAN ROBERT REYNOLDS (NPI 1568740405) is an individual mental health (including community mental health center) provider in Ada, Oklahoma and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1568740405
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameJORDAN ROBERT REYNOLDS
Location Address1300 HOPPE BLVD STE 6Ada, OK 74820-2319
Mailing Address512 E 24th StTishomingo, OK 73460-3214 · (580) 399-7653
Phone(580) 399-7653
Sole ProprietorYes
Enumeration DateJuly 26, 2011
Last NPPES UpdateAugust 25, 2024
NPPES CertifiedAugust 25, 2024
✔ NPI 1568740405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1300 HOPPE BLVD STE 6, Ada, OK 74820
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Other Identifiers 1

Medicaid1548339435OK

Other Providers at the Same Location NPPES 10

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

MICHAELLA CHYENNE MCNEILL
Case Manager/Care Coordinator
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 465-1118
CHRISTOPHER CALAWAY
Case Manager/Care Coordinator
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 235-0274
STACIE J SULLIVAN
Case Manager/Care Coordinator
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 235-0274
CRYSTAL KIXMILLER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 235-0274
ROBYN ZAH MSW
Social Worker
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 436-1222
MS. STACY CAROL PREWITT B.A.
Counselor
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 436-1222
DANIELLE NICOLE RICHARDSON
Counselor
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 235-0274
NATHAN WADE WEEKS BA
Clinic/Center (Mental Health (Including Community Mental Health Center))
1300 HOPPE BLVD STE 6
ADA, OK 74820
Pontotoc County (580) 235-0274

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 Jordan Reynolds's NPI number?

The NPI number for Jordan Reynolds is 1568740405. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Jordan Reynolds located?

Jordan Reynolds practices at 1300 Hoppe Blvd Ste 6, Ada, OK 74820. The listed phone number is (580) 399-7653.

What is Jordan Reynolds's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jordan Reynolds was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.