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MS. JACKIE LYNN SHAMSOLLAHI MS, LPC
NPI 1831649276
Counselor in Durant, OK

Active since October 10, 2016
324 N WASHINGTON AVE, DURANT, OK 74701(580) 931-3008 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 21, 2024, Oct 10, 2016 (2 updates tracked since 2016).

About Ms. Jackie Lynn Shamsollahi Ms, Lpc NPPES

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

MS. JACKIE LYNN SHAMSOLLAHI MS, LPC (NPI 1831649276) is an individual counselor in Durant, Oklahoma, licensed in (1853) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1831649276
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. JACKIE LYNN SHAMSOLLAHICredential: MS, LPC
Location Address324 N WASHINGTON AVEDurant, OK 74701-3642
Mailing Address401 Northridge DrDurant, OK 74701-2561 · (405) 880-7301 · Fax (580) 924-0379
Phone(580) 931-3008
Sole ProprietorYes
Enumeration DateOctober 10, 2016
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1831649276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed · 1853
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1853 (OK)
324 N WASHINGTON AVE, Durant, OK 74701
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Other Providers at the Same Location NPPES 6

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

SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.
Community/Behavioral Health
324 N WASHINGTON AVE
DURANT, OK 74701
Bryan County (580) 391-3008
ANGIE REYES
Case Manager/Care Coordinator
324 N WASHINGTON AVE
DURANT, OK 74701
Bryan County (580) 931-3008
DALTON GORRELL
Clinic/Center (Mental Health (Including Community Mental Health Center))
324 N WASHINGTON AVE
DURANT, OK 74701
Bryan County (580) 564-7374
CLARA RUTLEDGE
Counselor
324 N WASHINGTON AVE
DURANT, OK 74701
Bryan County (580) 931-3008
MINDY FANCHER
Counselor
324 N WASHINGTON AVE
DURANT, OK 74701
Bryan County (580) 931-3008
JAMIE SCALES
Social Worker (Clinical)
324 N WASHINGTON AVE
DURANT, OK 74701
Bryan County (580) 931-3008

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 Jackie Shamsollahi's NPI number?

The NPI number for Jackie Shamsollahi is 1831649276. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Jackie Shamsollahi located?

Jackie Shamsollahi practices at 324 N Washington Ave, Durant, OK 74701. The listed phone number is (580) 931-3008.

What is Jackie Shamsollahi'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 Jackie Shamsollahi was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.