Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Willard, MA

Individual provider Mental Health Counselor · NPI 1215613088

Jake Willard, MA is a Mental Health Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

13707 Fairhill Ave
Edmond, OK 73013
Phone: (405) 607-4041
Fax: (405) 463-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCCANDIDATE11434 (OK)

Record details

NPI number1215613088
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address13707 Fairhill Ave, Edmond, OK 73013

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