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MR. KEITH ERIC JACOBS BA, CMII
NPI 1992160295
Counselor - Addiction (Substance Use Disorder) in Oklahoma City, OK

Active since December 31, 2015
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107(405) 858-1700(405) 858-1770 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 31, 2015 (2 updates tracked since 2015).

About Mr. Keith Eric Jacobs Ba, Cmii NPPES

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

MR. KEITH ERIC JACOBS BA, CMII (NPI 1992160295) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma and active in the NPI registry since December 2015. He maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1992160295
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEITH ERIC JACOBSCredential: BA, CMII
Location Address2617 GENERAL PERSHING BLVDOklahoma City, OK 73107-6437
Mailing AddressPo Box 12978Oklahoma City, OK 73157-2978 · (405) 858-1700 · Fax (405) 858-1700
Phone(405) 858-1700
Fax(405) 858-1770
Sole ProprietorYes
Enumeration DateDecember 31, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1992160295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2617 GENERAL PERSHING BLVD, Oklahoma City, OK 73107
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Secondary Practice Location 1

Location 11216 SW 17th StOklahoma City, OK 73108-7214 · Phone (405) 414-4286

Other Providers at the Same Location NPPES 20

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

MRS. MEGAN ANNE HUNT
Counselor
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (801) 668-8351
MEGAN RACHELLE WADSACK LMSW
Social Worker
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2700
COREY EUGENE NOONER
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2700
SHAKARA DANIELLE WALKER
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-1700
MRS. AMBER NICHOLE SULLIVAN MAXWELL MA LPC
Counselor (Mental Health)
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-1700
JESSICA LEIGH HELMKA MA, LADC CANDIDATE
Counselor
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 589-8553
AVERY JOEL FENNELL
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2700
MRS. ANNA LISA PHILLIPS
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2794

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 Keith Jacobs's NPI number?

The NPI number for Keith Jacobs is 1992160295. It was assigned to this individual provider in the NPPES registry on December 31, 2015.

Where is Keith Jacobs located?

Keith Jacobs practices at 2617 General Pershing Blvd, Oklahoma City, OK 73107. The listed phone number is (405) 858-1700.

What is Keith Jacobs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Jacobs was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.