1. Home
  2. Directory
  3. Oklahoma
  4. Idabel
  5. Counselor
  6. NPI Profile

DEETRA JACKSON
NPI 1326485582
Counselor in Idabel, OK

Active since May 29, 2013
411 S CENTRAL AVE, IDABEL, OK 74745(580) 286-5045(580) 286-5721 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deetra Jackson NPPES

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

DEETRA JACKSON (NPI 1326485582) is an individual counselor in Idabel, Oklahoma and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1326485582
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDEETRA JACKSON
Location Address411 S CENTRAL AVEIdabel, OK 74745-6059
Mailing Address107 S High StAntlers, OK 74523-3818 · (580) 298-2830 · Fax (580) 298-6723
Phone(580) 286-5045
Fax(580) 286-5721
Sole ProprietorNo
Enumeration DateMay 29, 2013
✔ NPI 1326485582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
411 S CENTRAL AVE, Idabel, OK 74745
Open in Google Maps ↗

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.

KASSANDRA BUSSE
Health Educator
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
BRIGHTER HEIGHTS OKLAHOMA, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
BARBARA SHARON LUMSDEN LPC, LADC, MBS
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
GEORGE DONALD HASLAM SR.
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
HALEY TABOR
Case Manager/Care Coordinator
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-7876
CARLEY HARP
Health Educator
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
REONDA RICE LPN
Licensed Practical Nurse
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5045
DERREL LEVY
Counselor (Mental Health)
411 S CENTRAL AVE
IDABEL, OK 74745
McCurtain County (580) 286-5721

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 Deetra Jackson's NPI number?

The NPI number for Deetra Jackson is 1326485582. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Deetra Jackson located?

Deetra Jackson practices at 411 S Central Ave, Idabel, OK 74745. The listed phone number is (580) 286-5045.

What is Deetra Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Deetra Jackson was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.