CARL EDWARD JACKSON M.S. LPC
NPI 1891078671
Counselor - Professional in Altus, OK

Active since September 28, 2011
120 W BROADWAY ST, ALTUS, OK 73521(580) 954-5966 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2020, Mar 15, 2016 (2 updates tracked since 2016).

About Carl Edward Jackson M.s. Lpc NPPES

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

CARL EDWARD JACKSON M.S. LPC (NPI 1891078671) is an individual professional provider in Altus, Oklahoma, licensed in Oklahoma (6694) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1891078671
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCARL EDWARD JACKSONCredential: M.S. LPC
Location Address120 W BROADWAY STAltus, OK 73521-3802
Mailing Address120 W Broadway StAltus, OK 73521-3802 · (580) 954-5966
Sole ProprietorYes
Enumeration DateSeptember 28, 2011
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
NPI 1891078671 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 · 6694
120 W BROADWAY ST, Altus, OK 73521

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
120 W BROADWAY ST
ALTUS, OK 73521
Counselor (Professional)
120 W BROADWAY ST
ALTUS, OK 73521

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 Carl Jackson's NPI number?

The NPI number for Carl Jackson is 1891078671. It was assigned to this individual provider in the NPPES registry on September 28, 2011.

Where is Carl Jackson located?

Carl Jackson practices at 120 W Broadway St, Altus, OK 73521. The listed phone number is (580) 954-5966.

What is Carl Jackson's specialty?

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

What insurance does Carl Jackson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Carl 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 Carl Jackson was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.