1. Home
  2. Directory
  3. Oklahoma
  4. Midwest City
  5. Counselor
  6. NPI Profile

DERISHA JACKSON
NPI 1780968628
Counselor in Midwest City, OK

Active since October 10, 2011
351 N AIR DEPOT BLVD, SUITE S, MIDWEST CITY, OK 73110(405) 610-6540 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derisha Jackson NPPES

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

DERISHA JACKSON (NPI 1780968628) is an individual counselor in Midwest City, Oklahoma and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1780968628
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDERISHA JACKSON
Location Address351 N AIR DEPOT BLVD, SUITE SMidwest City, OK 73110-1700
Mailing Address13525 N Hollow Rock Rd., Apt DOklahoma City, OK 73120 · (209) 242-4270
Phone(405) 610-6540
Sole ProprietorYes
Enumeration DateOctober 10, 2011
✔ NPI 1780968628 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.
351 N AIR DEPOT BLVD, Midwest City, OK 73110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MICHAEL ANNANCY
Counselor
351 N AIR DEPOT BLVD, SUITE M
MIDWEST CITY, OK 73110
Oklahoma County (405) 601-5682
MIDWAY MEDICAL CLINIC
Family Medicine
351 N AIR DEPOT BLVD, SUITE BB
MIDWEST CITY, OK 73110
Oklahoma County (405) 610-3600
THERAPY LINK SOLUTIONS LLC
Occupational Therapist
351 N AIR DEPOT BLVD, SUITE Q
MIDWEST CITY, OK 73110
Oklahoma County (405) 455-5582
JASON SEWELL
Physical Therapy Assistant
351 N AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 732-1766
MR. WILLIAM KENT PARKS
Counselor
351 N AIR DEPOT BLVD, SUIT M
MIDWEST CITY, OK 73110
Oklahoma County (405) 610-6540
JANICE KAYE SAMPSON BHRS
Clinic/Center (Mental Health (Including Community Mental Health Center))
351 N AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 610-6540
JAMES ROY HARRIS
Behavior Analyst
351 N AIR DEPOT BLVD, SUITE S
MIDWEST CITY, OK 73110
Oklahoma County (405) 610-6540
STEPHANIE M BOND MHR
Counselor
351 N AIR DEPOT BLVD, SUITE M
MIDWEST CITY, OK 73110
Oklahoma County (405) 659-1870

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 Derisha Jackson's NPI number?

The NPI number for Derisha Jackson is 1780968628. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Derisha Jackson located?

Derisha Jackson practices at 351 N Air Depot Blvd Suite S, Midwest City, OK 73110. The listed phone number is (405) 610-6540.

What is Derisha 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 Derisha Jackson was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.