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MR. JIMMY A JACKSON TECH
NPI 1376836957
Counselor - Mental Health in Ardmore, OK

Active since May 16, 2011
221 2ND AVE NW, ARDMORE, OK 73401(580) 340-9187(580) 226-3849 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jimmy A Jackson Tech NPPES

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

MR. JIMMY A JACKSON TECH (NPI 1376836957) is an individual mental health provider in Ardmore, Oklahoma and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1376836957
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JIMMY A JACKSONCredential: TECH
Location Address221 2ND AVE NWArdmore, OK 73401-6202
Mailing Address221 2nd Ave NwArdmore, OK 73401-6202 · (580) 340-9187 · Fax (580) 226-3849
Phone(580) 340-9187
Fax(580) 226-3849
Sole ProprietorYes
Enumeration DateMay 16, 2011
✔ NPI 1376836957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
221 2ND AVE NW, Ardmore, OK 73401
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Other Providers at the Same Location NPPES 2

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

BROADWAY HOUSE, INC.
Substance Abuse Rehabilitation Facility
221 2ND AVE NW
ARDMORE, OK 73401
Carter County (580) 226-3252
MS. WADONNA WELLS LADC
Counselor (Addiction (Substance Use Disorder))
221 2ND AVE NW
ARDMORE, OK 73401
Carter County (580) 226-3252

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 Jimmy Jackson's NPI number?

The NPI number for Jimmy Jackson is 1376836957. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Jimmy Jackson located?

Jimmy Jackson practices at 221 2nd Ave NW, Ardmore, OK 73401. The listed phone number is (580) 340-9187.

What is Jimmy 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 Jimmy Jackson was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.