OrganizationActive
Jim Wallace and Associates Inc.
NPI 1194860247 · Community/Behavioral Health Agency · Ardmore, OK
Jim Wallace and Associates Inc. is a Community/Behavioral Health Agency organization in Ardmore, OK (NPI 1194860247).
Provider details
- NPI number
- 1194860247
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Teresa Rue-Wallace, Owner/Ceo/President/Exec. Director(405) 306-8511
Specialties & taxonomies
Agencies
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
301 W Main St Ste 618
Ardmore, OK 73401-6337
Phone: (580) 224-2830
Fax: (405) 665-6396
Street-level locationGet directions
Mailing address
202 S Washita Ave
Wynnewood, OK 73098-7820
Other names (DBA / former)
- Doing business as
- The Jetty Counseling Center
- Doing business as
- The Jetty Counseling Center
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Jim Wallace and Associates Inc.'s NPI number?
- Jim Wallace and Associates Inc.'s National Provider Identifier (NPI) is 1194860247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jim Wallace and Associates Inc.?
- Jim Wallace and Associates Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Jim Wallace and Associates Inc. located?
- Jim Wallace and Associates Inc.'s practice location on file with NPPES is 301 W Main St Ste 618, Ardmore, OK 73401-6337.
- What is Jim Wallace and Associates Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jim Wallace and Associates Inc. is (580) 224-2830.
- Who is the authorized official for Jim Wallace and Associates Inc.?
- The authorized official listed on Jim Wallace and 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 and Associates Inc.'s NPI active?
- Yes — Jim Wallace and Associates Inc.'s NPI (1194860247) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.