JACKALOPE THERAPY
NPI 1629942917
Counselor in Moore, OK

Active since October 01, 2025
1119 LEAFHURST RD, MOORE, OK 73160(405) 237-5696 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jackalope Therapy NPPES

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

JACKALOPE THERAPY (NPI 1629942917) is a healthcare organization registered as a counselor in Moore, Oklahoma and active in the NPI registry since October 2025. The organization lists Jennifer Blume, Owner, as its authorized official.

NPPES Registry Identity

NPI1629942917
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameJACKALOPE THERAPY
Location Address1119 LEAFHURST RDMoore, OK 73160-8533
Mailing Address1119 Leafhurst RdMoore, OK 73160-8533 · (405) 237-5696
Organization SubpartNo
Authorized OfficialJennifer BlumeOwner · (405) 237-5696
Enumeration DateOctober 1, 2025
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1629942917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
1119 LEAFHURST RD, Moore, OK 73160

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Jackalope Therapy's NPI number?

The NPI number for Jackalope Therapy is 1629942917. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Jackalope Therapy located?

Jackalope Therapy is located at 1119 Leafhurst Rd, Moore, OK 73160. The listed phone number is (405) 237-5696.

What is Jackalope Therapy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Jackalope Therapy accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jackalope Therapy 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 Jackalope Therapy was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.