Jennifer Ann Blume, LCSW
Individual provider Active NPI Counselor · Edmond, OK
NPI 1922583715 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1922583715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 7672 (OK)
- Practice address
- 1700 S Boulevard Ste B
Edmond, OK 73013-5174 - Phone
- (405) 215-9151
- Fax
- (405) 938-0988
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6951 | SD | MD | Counselor |
| 7672 | OK | MD | Pediatrics Physician |
| 117663 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackalope Therapy | Counselor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6951 | SD | |
| Clinical Social Worker | 1041C0700X | 7672 | OK | |
| Counselor | 101Y00000X | 117663 | TX | |
| Counselor | 101Y00000X | 7672 | OK | Yes |
Addresses
Primary practice location
1700 S Boulevard Ste B
Edmond, OK 73013-5174
Mailing address
1700 S Boulevard Ste B
Edmond, OK 73013-5174
Phone (405) 215-9151
Other providers in Edmond, OK
- Jason L. Block
- Carol M Blossfeld
- Blue Haven Counseling, Inc.
- Paige Madison Blue
- Bluesprig
- BNS Associates LLC
- Board of Regents of the Univ of Oklahoma-Ou Phys Edmond Clinic
- Board of Regents of the University of Oklahoma - Ou Physicians
- Board of Regents of the University of Oklahoma - Ou Physicians Hope
- Board of Regents of the University of Oklahoma-Ou Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.