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ERNEST JACKSON JR. B.S. M.DIV
NPI 1801060231
Counselor - Addiction (Substance Use Disorder) in Oklahoma City, OK

Active since April 16, 2008
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111(405) 524-5525(405) 524-5528 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ernest Jackson Jr. B.s. M.div NPPES

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

ERNEST JACKSON JR. B.S. M.DIV (NPI 1801060231) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1801060231
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameERNEST JACKSON JR.Credential: B.S. M.DIV
Location Address3621 N KELLEY AVE STE 100Oklahoma City, OK 73111-4520
Mailing Address3621 N Kelley Ave Ste 100Oklahoma City, OK 73111-4520 · (405) 524-5525 · Fax (405) 524-5528
Phone(405) 524-5525
Fax(405) 524-5528
Sole ProprietorNo
Enumeration DateApril 16, 2008
✔ NPI 1801060231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3621 N KELLEY AVE STE 100, Oklahoma City, OK 73111
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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.

MISS TIERRA BRADDEN
Counselor (Addiction (Substance Use Disorder))
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 525-4425
JACQUELINE JOHNSON
Counselor (Addiction (Substance Use Disorder))
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 524-5525
DESIRAE WHITE
Counselor (Addiction (Substance Use Disorder))
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 524-5528
ROBERT SMITH
Counselor (Addiction (Substance Use Disorder))
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 524-5525
DA'LAYA BURKLEY
Counselor (Addiction (Substance Use Disorder))
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 565-7683
RACHAEL N MOKUBE
Case Manager/Care Coordinator
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 524-5525
MS. ANDREA DENYSE PORTER
Case Manager/Care Coordinator
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 524-5525
TYLER BRIGHT
Case Manager/Care Coordinator
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 524-5525

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 Ernest Jackson's NPI number?

The NPI number for Ernest Jackson is 1801060231. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Ernest Jackson located?

Ernest Jackson practices at 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111. The listed phone number is (405) 524-5525.

What is Ernest Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ernest Jackson was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.