MR. JACK EDWARD REYNOLDS LADC
NPI 1871818120
Counselor - Mental Health in Oklahoma City, OK

Q: What is Jack Reynolds's NPI number?

The NPI number for Jack Reynolds is 1871818120. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Jack Reynolds'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 Reynolds was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 30, 2010

5604 TIMBER LN, OKLAHOMA CITY, OK 73111(405) 816-7725 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jack Edward Reynolds Ladc NPPES

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

MR. JACK EDWARD REYNOLDS LADC (NPI 1871818120) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1871818120

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JACK EDWARD REYNOLDSCredential: LADC

Location Address5604 TIMBER LNOklahoma City, OK 73111-6877

Mailing Address5604 Timber LnOklahoma City, OK 73111-6877 · (405) 816-7725

Phone(405) 816-7725

Sole ProprietorYes

Enumeration DateMarch 30, 2010

✔ NPI 1871818120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

5604 TIMBER LN, Oklahoma City, OK 73111

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Other Providers at the Same Location NPPES

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

ALETRA JAMIL REYNOLDS

Behavior Analyst

5604 TIMBER LN
OKLAHOMA CITY, OK 73111

Oklahoma County (405) 427-2246

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 Reynolds's NPI number?

The NPI number for Jack Reynolds is 1871818120. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Jack Reynolds located?

Jack Reynolds practices at 5604 Timber Ln, Oklahoma City, OK 73111. The listed phone number is (405) 816-7725.

What is Jack Reynolds's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Reynolds was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.