Jack D Norrell, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2313 Issued in OK

Legal business name

JACK D NORRELL, LCSW

Practice address

6205 W Gore Blvd
Lawton, OK 73505-5836

Phone

(580) 536-3900

Fax

(580) 357-8787

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ronda Norrell

Title

Administrator

Phone

(580) 536-3900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1679754113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-536-3900",
            "fax_number": "580-357-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-536-3900",
            "fax_number": "580-357-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D NORRELL, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "NORRELL",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-536-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J J Young
• J J Young MD
• Amira Jabai, BS
• Susan Jachim, BSN RB CMGT-BC
• Jack D Norrell LCSW PC
• Kelly Jackson-Reavis
• Kadian Jackson
• Marshellen Denise Jackson
• Michael D Jackson, D.D.S
• Yvonne Ann Jackson

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, 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 May 26, 2009; 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.