KENDRICK JACKSON
NPI 1679826747
Counselor in Oklahoma City, OK

Q: What is Kendrick Jackson's NPI number?

The NPI number for Kendrick Jackson is 1679826747. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Q: What is Kendrick 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 Kendrick Jackson was last updated on October 25, 2012. 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.

Active since October 25, 2012

2501 NE 15TH ST, OKLAHOMA CITY, OK 73117(405) 706-4537 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendrick Jackson NPPES

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

KENDRICK JACKSON (NPI 1679826747) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1679826747

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKENDRICK JACKSON

Location Address2501 NE 15TH STOklahoma City, OK 73117-5224

Mailing Address2501 Ne 15th StOklahoma City, OK 73117-5224 · (405) 706-4537

Phone(405) 706-4537

Sole ProprietorYes

Enumeration DateOctober 25, 2012

✔ NPI 1679826747 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.

2501 NE 15TH ST, Oklahoma City, OK 73117

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Other Identifiers 1

Medicaid200287120AOK

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 Kendrick Jackson's NPI number?

The NPI number for Kendrick Jackson is 1679826747. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Kendrick Jackson located?

Kendrick Jackson practices at 2501 NE 15th St, Oklahoma City, OK 73117. The listed phone number is (405) 706-4537.

What is Kendrick 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 Kendrick Jackson was last updated on October 25, 2012. 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.