IndividualActive
Jack Fortenberry, LMSW
NPI 1023155645 · Counselor · Choctaw, OK
Jack Fortenberry, LMSW is a Counselor provider in Choctaw, OK (NPI 1023155645).
Provider details
- NPI number
- 1023155645
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 3030 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14625 Ne 23rd Street
Choctaw, OK 73020
Phone: (405) 390-8131
Fax: (405) 390-8134
Street-level locationGet directions
Mailing address
Po Box 695
Choctaw, OK 73020-0695
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Fortenberry's NPI number?
- Jack Fortenberry's National Provider Identifier (NPI) is 1023155645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Fortenberry's specialty?
- Jack Fortenberry is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Fortenberry located?
- Jack Fortenberry's practice location on file with NPPES is 14625 Ne 23rd Street, Choctaw, OK 73020.
- What is Jack Fortenberry's phone number?
- The practice phone number listed in the NPPES registry for Jack Fortenberry is (405) 390-8131.
- Is Jack Fortenberry's NPI active?
- Yes — Jack Fortenberry's NPI (1023155645) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.