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

Jared Grob, MA

Individual provider Mental Health Counselor · NPI 1558047027

Jared Grob, 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 73013-1946
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 LPCCANDIDATE11561 (OK)

Record details

NPI number1558047027
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023
Mailing address13707 Fairhill Ave, Edmond, OK 73013-1946

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