IndividualActive
Jackie Jordan, MA, LADC
NPI 1114263001 · Addiction (Substance Use Disorder) Psychologist · Oklahoma City, OK
Provider details
- NPI number
- 1114263001
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- MA, LADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 490 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3700 N Classen Blvd
Suite C-55
Oklahoma City, OK 73118-2872
Phone: (405) 605-0881
Fax: (405) 605-0879
Street-level locationGet directions
Mailing address
3700 N Classen Blvd
Oklahoma City, OK 73118-2872
Registry dates
- Enumerated
- 2012-12-20
- Last updated
- 2012-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.