Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackalope Therapy

Organization Counselor · NPI 1629942917

Jackalope Therapy provides Counselor services in Moore, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1119 Leafhurst Rd
Moore, OK 73160-8533
Phone: (405) 237-5696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1629942917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Blume — Owner · (405) 237-5696
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address1119 Leafhurst Rd, Moore, OK 73160-8533

Other providers in Moore