JACQULINE JACKSON
NPI 1689943094
Counselor - Professional in Shawnee, OK

Active since December 14, 2011
1127 N KICKAPOO AVE, SHAWNEE, OK 74801(405) 214-0116(877) 334-8552 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquline Jackson NPPES

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

JACQULINE JACKSON (NPI 1689943094) is an individual professional provider in Shawnee, Oklahoma, licensed in Oklahoma (5594) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1689943094
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQULINE JACKSON
Location Address1127 N KICKAPOO AVEShawnee, OK 74801-4845
Mailing Address33207 45th StShawnee, OK 74804-3423 · (405) 214-0116 · Fax (877) 334-8552
Fax(877) 334-8552
Sole ProprietorNo
Enumeration DateDecember 14, 2011
Last NPPES UpdateMarch 1, 2016
NPI 1689943094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 5594
1127 N KICKAPOO AVE, Shawnee, OK 74801

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Counselor (Professional)
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Counselor (Mental Health)
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Marriage & Family Therapist
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Psychologist
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Counselor (Mental Health)
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Counselor (Mental Health)
1127 N KICKAPOO AVE
SHAWNEE, OK 74801
Counselor (Mental Health)
1127 N KICKAPOO AVE
SHAWNEE, OK 74801

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 Jacquline Jackson's NPI number?

The NPI number for Jacquline Jackson is 1689943094. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Where is Jacquline Jackson located?

Jacquline Jackson practices at 1127 N Kickapoo Ave, Shawnee, OK 74801. The listed phone number is (405) 214-0116.

What is Jacquline Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jacquline Jackson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Jacquline 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 Jacquline Jackson was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.