Jacob Crowder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7583 Issued in OK

Practice address

24 N Eight Tribes TRL
Miami, OK 74354-1011

Phone

(918) 387-8720

NPI assigned

Mar 7, 2017

Last updated

Oct 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modoc Nation Behavioral Health

  dba Lost River

  • Multi-Specialty Clinic/Center
  • Wyandotte, OK
  • NPI 1265083380
  NPD (past)
• Modoc Nation Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, OK
  • NPI 1821636358
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1104366244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N EIGHT TRIBES TRL",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541011",
            "telephone_number": "918-542-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N EIGHT TRIBES TRL",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541011",
            "telephone_number": "918-387-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7583",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Sinar Crisp
• Kayla Dawn Crissman, ATC
• Robyn E Crosby
• Dana Clifton Crow
• Kathy Lynn Crow, LPC/LMFT
• Brittany Crowe
• Linda Culp
• Dusty Culver
• Andrea Dawn Cummings, B.S.
• Phillip Andrew Michael Cupples, PHARMD

• Mental Health Counselor in Miami, OK
• Providers in Miami, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.