MISS KRISTIE MICHELLE JACKSON
NPI 1194001560
Counselor - Mental Health in Elk City, OK

Active since October 28, 2011
3080 W 3RD ST, ELK CITY, OK 73644(580) 225-5136(580) 225-5138 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kristie Michelle Jackson NPPES

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

MISS KRISTIE MICHELLE JACKSON (NPI 1194001560) is an individual mental health provider in Elk City, Oklahoma and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1194001560
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KRISTIE MICHELLE JACKSON
Location Address3080 W 3RD STElk City, OK 73644-4323
Mailing AddressPo Box 1106Elk City, OK 73648-1106 · (580) 225-5136 · Fax (580) 225-5138
Fax(580) 225-5138
Sole ProprietorNo
Enumeration DateOctober 28, 2011
NPI 1194001560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3080 W 3RD ST, Elk City, OK 73644

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.

Case Manager/Care Coordinator
3080 W 3RD ST
ELK CITY, OK 73644
Counselor (Mental Health)
3080 W 3RD ST
ELK CITY, OK 73644
Student in an Organized Health Care Education/Training Program
3080 W 3RD ST
ELK CITY, OK 73644
Counselor (Mental Health)
3080 W 3RD ST
ELK CITY, OK 73644
Community Health Worker
3080 W 3RD ST
ELK CITY, OK 73644
Community Health Worker
3080 W 3RD ST
ELK CITY, OK 73644
Counselor
3080 W 3RD ST
ELK CITY, OK 73644
Social Worker
3080 W 3RD ST
ELK CITY, OK 73644

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 Kristie Jackson's NPI number?

The NPI number for Kristie Jackson is 1194001560. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Where is Kristie Jackson located?

Kristie Jackson practices at 3080 W 3rd St, Elk City, OK 73644. The listed phone number is (580) 225-5136.

What is Kristie 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 Kristie Jackson was last updated on October 28, 2011. 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.