NPI 1669885687
Jack Smith
Counselor, Mental Health · Moore, OK
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 3:06 am EDT
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Jack Smith is a health care provider (Counselor, Mental Health) in Moore, Oklahoma with National Provider Identifier (NPI) 1669885687. The NPI was issued on Jun 6, 2014 and the registry record was last updated on Mar 2, 2023. The registry lists a license in Oklahoma.
Registry record
- NPI
- 1669885687
- Type
- Individual (NPI-1)
- Primary specialty
- Counselor, Mental Health 101YM0800X
- Practice location
- 933 SW 3rd St
Moore, OK 73160-2261 - Phone
- (405) 822-1424
- NPI issued
- Jun 6, 2014
- Registry record updated
- Mar 2, 2023
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | Oklahoma | LPC07653 |
| Social Worker | 104100000X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Mental Health Counselor providers in Oklahoma
- Tamara Olivia GriffinOklahoma City, OK
- Tamara Lynn CulwellShawnee, OK
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.