Jim Wallace & Associates, Inc
NPI 1043980188 · Mental Health Clinic/Center (Including Community Mental Health Center) · Ardmore, OK
Jim Wallace & Associates, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Ardmore, OK (NPI 1043980188).
Provider details
- NPI number
- 1043980188
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Jim Wallace & Associates, Inc
- Organization subpart
- Yes
- Authorized official
- Teresa Rue-Wallace, Owner/Ceo/President/Exec. Director(405) 306-8511
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Jetty Counseling Center
- Doing business as
- The Jetty Counseling Center
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2025-05-31
- Certified
- 2025-05-31
Frequently asked questions
- What is Jim Wallace & Associates, Inc's NPI number?
- Jim Wallace & Associates, Inc's National Provider Identifier (NPI) is 1043980188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jim Wallace & Associates, Inc?
- Jim Wallace & Associates, Inc is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Jim Wallace & Associates, Inc located?
- Jim Wallace & Associates, Inc's practice location on file with NPPES is 301 W Main St Ste 103, Ardmore, OK 73401-6324.
- What is Jim Wallace & Associates, Inc's phone number?
- The practice phone number listed in the NPPES registry for Jim Wallace & Associates, Inc is (580) 224-2830.
- Who is the authorized official for Jim Wallace & Associates, Inc?
- The authorized official listed on Jim Wallace & Associates, Inc's NPPES record is Teresa Rue-Wallace, Owner/Ceo/President/Exec. Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jim Wallace & Associates, Inc's NPI active?
- Yes — Jim Wallace & Associates, Inc's NPI (1043980188) is active in the NPPES registry as of the last update on 2025-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.