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MS. ANDREA LUTHELLE JACKSON M.S. EDUCATION
NPI 1124383765
Counselor - Mental Health in Oklahoma City, OK

Active since July 10, 2012
1501 NW 34TH ST, OKLAHOMA CITY, OK 73118(405) 223-7793 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Andrea Luthelle Jackson M.s. Education NPPES

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

MS. ANDREA LUTHELLE JACKSON M.S. EDUCATION (NPI 1124383765) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1124383765
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANDREA LUTHELLE JACKSONCredential: M.S. EDUCATION
Location Address1501 NW 34TH STOklahoma City, OK 73118-3203
Mailing Address1501 Nw 34th StOklahoma City, OK 73118-3203 · (405) 223-7793
Phone(405) 223-7793
Sole ProprietorNo
Enumeration DateJuly 10, 2012
✔ NPI 1124383765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1501 NW 34TH ST, Oklahoma City, OK 73118
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUWASEUN DESMOND AIKHORIN
Behavior Analyst
1501 NW 34TH ST
OKLAHOMA CITY, OK 73118
Oklahoma County (405) 779-8805

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1124383765. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Andrea Jackson located?

Andrea Jackson practices at 1501 NW 34th St, Oklahoma City, OK 73118. The listed phone number is (405) 223-7793.

What is Andrea 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 Andrea Jackson was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.