MRS. MARY ELIZABETH JACKSON
NPI 1659620268
Counselor in Oklahoma City, OK

Q: What is Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1659620268. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Mary Frazier.

Q: What is Mary Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 29, 2012PECOS Enrolled

4101 PERIMETER CENTER DR, SUITE 250, OKLAHOMA CITY, OK 73112(405) 751-0800(405) 751-6488 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Mary Elizabeth Jackson NPPES

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

MRS. MARY ELIZABETH JACKSON (NPI 1659620268) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659620268

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. MARY ELIZABETH JACKSON

Location Address4101 PERIMETER CENTER DR, SUITE 250Oklahoma City, OK 73112-2302

Mailing Address4101 Perimeter Center Dr, Suite 250Oklahoma City, OK 73112-2302 · (405) 751-0800 · Fax (405) 751-6488

Phone(405) 751-0800

Fax(405) 751-6488

Sole ProprietorNo

Enumeration DateAugust 29, 2012

Last NPPES UpdateOctober 8, 2013

✔ NPI 1659620268 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.

4101 PERIMETER CENTER DR, Oklahoma City, OK 73112

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Other Names 1

Former Name (1)Mary Frazier

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

MARVIS MIMBA

General Practice

4101 PERIMETER CENTER DR
OKLAHOMA CITY, OK 73112

Oklahoma County (563) 766-7014

CAROLE TAYO

Nurse Practitioner

4101 PERIMETER CENTER DR
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 226-0843

CHOICES FOR LIFE FOSTER CARE INC.

Foster Care Agency

4101 PERIMETER CENTER DR, SUITE 250
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 751-0800

CHRISTINA PHILIP

Nurse Practitioner (Family)

4101 PERIMETER CENTER DR
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 702-7750

KRISTI LYNN SELENSKY LPC

Counselor (Mental Health)

4101 PERIMETER CENTER DR, STE. 250
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 751-0800

MELISSA EVANS LMSW US LCSW

Social Worker (Clinical)

4101 PERIMETER CENTER DR, STE #250
OKLAHOMA CITY, OK 73112

Oklahoma County (405) 751-0800

ERIN WIX APRN-FNP-C

Nurse Practitioner (Family)

4101 PERIMETER CENTER DR
OKLAHOMA CITY, OK 73112

Oklahoma County (888) 852-1988

CHRISTINA LAN CAOILE WARDHANA FNP-BC

Nurse Practitioner

4101 PERIMETER CENTER DR
OKLAHOMA CITY, OK 73112

Oklahoma County (608) 783-7532

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1659620268. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Mary Frazier.

Where is Mary Jackson located?

Mary Jackson practices at 4101 Perimeter Center Dr Suite 250, Oklahoma City, OK 73112. The listed phone number is (405) 751-0800.

What is Mary Jackson's specialty?

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

Is Mary Jackson enrolled in Medicare?

Yes. Mary Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Mary Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mary Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.