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ROBERT JACKSON
NPI 1174009039
Peer Specialist in Nowata, OK

Active since July 13, 2018
114 W DELAWARE AVE, NOWATA, OK 74048(918) 273-1841 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2018, Jul 13, 2018 (2 updates tracked since 2018).

About Robert Jackson NPPES

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

ROBERT JACKSON (NPI 1174009039) is an individual peer specialist in Nowata, Oklahoma and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1174009039
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameROBERT JACKSON
Location Address114 W DELAWARE AVENowata, OK 74048
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841
Phone(918) 273-1841
Sole ProprietorNo
Enumeration DateJuly 13, 2018
Last NPPES UpdateAugust 13, 20182 updates tracked since enumeration
✔ NPI 1174009039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
114 W DELAWARE AVE, Nowata, OK 74048
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Other Providers at the Same Location NPPES 20

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

MR. WILLIAM THOMAS MOSHER MS, LPC, LADC
Counselor (Mental Health)
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 273-1841
JENNIFER GRACE BECK LPC, LADC, CPRSS
Counselor (Mental Health)
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 533-6876
DEVON POLLARD
Peer Specialist
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 337-8080
ROBERTA DOWNING
Peer Specialist
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 273-1841
CHRISTINA WRIGHT
Peer Specialist
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 273-1841
WILLIAM JAMES CAULFIELD III
Peer Specialist
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 273-1841
JULIE STARR STAIGER
Case Manager/Care Coordinator
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 273-1841
DONNA AULTZ
Peer Specialist
114 W DELAWARE AVE
NOWATA, OK 74048
Nowata County (918) 273-1841

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1174009039. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Robert Jackson located?

Robert Jackson practices at 114 W Delaware Ave, Nowata, OK 74048. The listed phone number is (918) 273-1841.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.