SHAWN PIERRE JACKSON
NPI 1316393796
Counselor - Mental Health in Tulsa, OK

Q: What is Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1316393796. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Shawn 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 Shawn Jackson was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 04, 2016

3242 S LAKEWOOD AVE, 2F, TULSA, OK 74135(918) 402-0749 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shawn Pierre Jackson NPPES

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

SHAWN PIERRE JACKSON (NPI 1316393796) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (1023172897) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1316393796

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSHAWN PIERRE JACKSON

Location Address3242 S LAKEWOOD AVE, 2FTulsa, OK 74135-4910

Mailing Address3242 S Lakewood Ave, 2fTulsa, OK 74135-4910 · (918) 402-0749

Phone(918) 402-0749

Sole ProprietorYes

Enumeration DateMay 4, 2016

✔ NPI 1316393796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 1023172897

3242 S LAKEWOOD AVE, Tulsa, OK 74135

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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 Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1316393796. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Shawn Jackson located?

Shawn Jackson practices at 3242 S Lakewood Ave 2F, Tulsa, OK 74135. The listed phone number is (918) 402-0749.

What is Shawn 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 Shawn Jackson was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.