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MR. MICKEY DEWAYNE JACK BHRS
NPI 1861768715
Counselor - Mental Health in Atoka, OK

Active since March 26, 2012
303 E COURT ST, ATOKA, OK 74525(580) 889-3399 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Mickey Dewayne Jack Bhrs NPPES

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

MR. MICKEY DEWAYNE JACK BHRS (NPI 1861768715) is an individual mental health provider in Atoka, Oklahoma and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1861768715
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICKEY DEWAYNE JACKCredential: BHRS
Location Address303 E COURT STAtoka, OK 74525-2047
Mailing Address126 W 4th StAtoka, OK 74525-2501 · (580) 230-1613
Phone(580) 889-3399
Sole ProprietorYes
Enumeration DateMarch 26, 2012
✔ NPI 1861768715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
303 E COURT ST, Atoka, OK 74525
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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.

SHERRI MCCOY
Counselor (Mental Health)
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-4717
HEATHER DOSS BHRS-CM
Counselor (Mental Health)
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-5555
MRS. PEGGY GILBREATH BS
Counselor
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-4717
ASHLEE ROSE SHERRARD
Social Worker
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-3399
MRS. MARLYN SUE HOLSTINE LPN
Licensed Practical Nurse
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-3399
DEBORAH CLIFTYNE NORRIS
Social Worker
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-3399
JAMIE CROW LPC UNDER SUP
Counselor (Mental Health)
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-5555
MRS. SHANNA JO DUNCAN BACHELORS OF PSY
Counselor (Mental Health)
303 E COURT ST
ATOKA, OK 74525
Atoka County (580) 889-3399

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 Mickey Jack's NPI number?

The NPI number for Mickey Jack is 1861768715. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Mickey Jack located?

Mickey Jack practices at 303 E Court St, Atoka, OK 74525. The listed phone number is (580) 889-3399.

What is Mickey Jack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mickey Jack was last updated on March 26, 2012. 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.