OrganizationActive
Jackalope Therapy
NPI 1629942917 · Counselor · Moore, OK
Jackalope Therapy is a Counselor organization in Moore, OK (NPI 1629942917).
Provider details
- NPI number
- 1629942917
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Blume, Owner(405) 237-5696
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1119 Leafhurst Rd
Moore, OK 73160-8533
Phone: (405) 237-5696
Street-level locationGet directions
Mailing address
1119 Leafhurst Rd
Moore, OK 73160-8533
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Frequently asked questions
- What is Jackalope Therapy's NPI number?
- Jackalope Therapy's National Provider Identifier (NPI) is 1629942917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackalope Therapy?
- Jackalope Therapy is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Jackalope Therapy located?
- Jackalope Therapy's practice location on file with NPPES is 1119 Leafhurst Rd, Moore, OK 73160-8533.
- What is Jackalope Therapy's phone number?
- The practice phone number listed in the NPPES registry for Jackalope Therapy is (405) 237-5696.
- Who is the authorized official for Jackalope Therapy?
- The authorized official listed on Jackalope Therapy's NPPES record is Jennifer Blume, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackalope Therapy's NPI active?
- Yes — Jackalope Therapy's NPI (1629942917) is active in the NPPES registry as of the last update on 2025-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.