KIMBERLY JACKSON
NPI 1528598463
Counselor - Mental Health in Tulsa, OK

Active since June 14, 2017
1401 CHARLES PAGE BLVD, TULSA, OK 74127(918) 521-7053(918) 516-0233 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Jackson NPPES

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

KIMBERLY JACKSON (NPI 1528598463) is an individual mental health provider in Tulsa, Oklahoma and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1528598463
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY JACKSON
Location Address1401 CHARLES PAGE BLVDTulsa, OK 74127-8820
Mailing Address3720 Silver Oak CtTulsa, OK 74107-4050 · (918) 521-7053
Fax(918) 516-0233
Sole ProprietorYes
Enumeration DateJune 14, 2017
NPI 1528598463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1401 CHARLES PAGE BLVD, Tulsa, OK 74127

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1401 CHARLES PAGE BLVD
TULSA, OK 74127

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1528598463. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 1401 Charles Page Blvd, Tulsa, OK 74127. The listed phone number is (918) 521-7053.

What is Kimberly 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 Kimberly Jackson was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.