JACK SMITH
NPI 1669885687
Counselor - Mental Health in Moore, OK

Q: What is Jack Smith's NPI number?

The NPI number for Jack Smith is 1669885687. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Q: What is Jack Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Smith was last updated on March 2, 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.

Active since June 06, 2014

933 SW 3RD ST, MOORE, OK 73160(405) 822-1424 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Smith NPPES

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

JACK SMITH (NPI 1669885687) is an individual mental health provider in Moore, Oklahoma, licensed in Oklahoma (LPC07653) and active in the NPI registry since June 2014. He maintains a secondary practice location in Jones.

NPPES Registry Identity

NPI1669885687

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJACK SMITH

Location Address933 SW 3RD STMoore, OK 73160-2261

Mailing Address933 Sw 3rd StMoore, OK 73160-2261 · (405) 822-1424

Phone(405) 822-1424

Sole ProprietorNo

Enumeration DateJune 6, 2014

Last NPPES UpdateMarch 2, 2023

NPPES CertifiedMarch 2, 2023

✔ NPI 1669885687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · LPC07653

Also ListedSocial WorkerTaxonomy 104100000X

933 SW 3RD ST, Moore, OK 73160

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Secondary Practice Location 1

Location 112901 E Britton Rd Ste BJones, OK 73049-7407 · Phone (405) 740-1249 · Fax (405) 399-5173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Jack Smith's NPI number?

The NPI number for Jack Smith is 1669885687. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is Jack Smith located?

Jack Smith practices at 933 SW 3rd St, Moore, OK 73160. The listed phone number is (405) 822-1424.

What is Jack Smith's specialty?

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

What insurance does Jack Smith accept?

Health plans from Medica list Jack Smith 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 Jack Smith was last updated on March 2, 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.