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JIM WALLACE & ASSOCIATES, INC
NPI 1871263913
Clinic/Center - Mental Health (Including Community Mental Health Center) in Norman, OK

Active since September 20, 2021
203 HAL MULDROW DR STE 4, NORMAN, OK 73069(405) 665-4385(405) 663-6396 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2025, Sep 21, 2021 (2 updates tracked since 2021).

About Jim Wallace & Associates, Inc NPPES

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

JIM WALLACE & ASSOCIATES, INC (NPI 1871263913), doing business as The Jetty Counseling Center, is a healthcare organization registered as a mental health (including community mental health center) in Norman, Oklahoma and active in the NPI registry since September 2021. The organization lists Teresa Gale Rue-wallace, Owner/ceo/president/exec. Director, as its authorized official.

NPPES Registry Identity

NPI1871263913
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJIM WALLACE & ASSOCIATES, INC
Location Address203 HAL MULDROW DR STE 4Norman, OK 73069-5288
Mailing Address202 S Washita AveWynnewood, OK 73098-7820 · (405) 663-4385 · Fax (405) 663-6396
Phone(405) 665-4385
Fax(405) 663-6396
Organization SubpartYes
Authorized OfficialTeresa Gale Rue-wallaceOwner/ceo/president/exec. Director · (405) 306-8511
Enumeration DateSeptember 20, 2021
Last NPPES UpdateMay 31, 20252 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1871263913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
203 HAL MULDROW DR STE 4, Norman, OK 73069
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Other Names 1

Doing Business AsThe Jetty Counseling Center

Other Identifiers 1

Medicaid100749080OK

Other Providers at the Same Location NPPES

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

PERLINDA MAY GEORGE MSW
Social Worker (Clinical)
203 HAL MULDROW DR STE 4
NORMAN, OK 73069
Cleveland County (405) 217-4547

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 & Associates, Inc's NPI number?

The NPI number for Jim Wallace & Associates, Inc is 1871263913. It was assigned to this organization in the NPPES registry on September 20, 2021. The provider is doing business as The Jetty Counseling Center.

Where is Jim Wallace & Associates, Inc located?

Jim Wallace & Associates, Inc is located at 203 Hal Muldrow Dr Ste 4, Norman, OK 73069. The listed phone number is (405) 665-4385.

What is Jim Wallace & Associates, Inc'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 Jim Wallace & Associates, Inc was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.