KEVIN THOMAS JACKSON
NPI 1114456498
Counselor - Mental Health in Tulsa, OK

Q: What is Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1114456498. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Jackson was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2017

310 S 49TH W AVE, TULSA, OK 74127(918) 813-9699 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kevin Thomas Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN THOMAS JACKSON (NPI 1114456498) is an individual mental health provider in Tulsa, Oklahoma and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114456498

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN THOMAS JACKSON

Location Address310 S 49TH W AVETulsa, OK 74127

Mailing Address310 S 49th West AveTulsa, OK 74127-7619

Phone(918) 813-9699

Sole ProprietorYes

Enumeration DateJune 8, 2017

✔ NPI 1114456498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

310 S 49TH W AVE, Tulsa, OK 74127

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1114456498. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Kevin Jackson located?

Kevin Jackson practices at 310 S 49th W Ave, Tulsa, OK 74127. The listed phone number is (918) 813-9699.

What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kevin Jackson was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.