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GREGG JACKSON
NPI 1649090002
Peer Specialist in Oklahoma City, OK

Active since October 11, 2024
5916 SE 67TH ST, OKLAHOMA CITY, OK 73135(314) 526-6884 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregg Jackson NPPES

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

GREGG JACKSON (NPI 1649090002) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1649090002
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGREGG JACKSON
Location Address5916 SE 67TH STOklahoma City, OK 73135-1738
Mailing Address5916 Se 67th StOklahoma City, OK 73135-1738 · (314) 526-6884
Phone(314) 526-6884
Sole ProprietorYes
Enumeration DateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1649090002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5916 SE 67TH ST, Oklahoma City, OK 73135
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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 Gregg Jackson's NPI number?

The NPI number for Gregg Jackson is 1649090002. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Gregg Jackson located?

Gregg Jackson practices at 5916 SE 67th St, Oklahoma City, OK 73135. The listed phone number is (314) 526-6884.

What is Gregg Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Gregg Jackson was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.