Individual provider Active NPI

Jordan Squyres, LMFT-C

  • Marriage & Family Therapist
  • McLoud, OK
National Provider Identifier
1467027565
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13272 Issued in OK
Practice address
12617 S McLoud Rd
McLoud, OK 74851-8509
Phone
(405) 446-1470
NPI assigned
May 21, 2021
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 13272 OK Primary

Addresses

Primary practice location

12617 S McLoud Rd
McLoud, OK 74851-8509

Mailing address

12617 S McLoud Rd
McLoud, OK 74851-8509
Phone (405) 446-1470

Other practice location 1

6510 S Western Ave Ste 400
Oklahoma City, OK 73139-1712
Phone (405) 634-1497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13272OKMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1467027565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 S MCLOUD RD",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518509",
            "telephone_number": "405-446-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 S MCLOUD RD",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518509",
            "telephone_number": "405-446-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 S Western Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731391712",
            "country_code": "US",
            "telephone_number": "405-634-1497",
            "fax_number": "405-634-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUYRES",
        "first_name": "JORDAN",
        "credential": "LMFT-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "13272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLoud, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.