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MR. PHIL LEODIS JACKSON JR.
NPI 1972847937
Counselor - Mental Health in Oklahoma City, OK

Active since November 15, 2012
2769 NW 16TH ST, OKLAHOMA CITY, OK 73107(405) 589-9578 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Phil Leodis Jackson Jr. NPPES

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

MR. PHIL LEODIS JACKSON JR. (NPI 1972847937) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1972847937
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. PHIL LEODIS JACKSON JR.
Location Address2769 NW 16TH STOklahoma City, OK 73107-4843
Mailing Address2769 Nw 16th StOklahoma City, OK 73107-4843 · (405) 589-9578
Phone(405) 589-9578
Sole ProprietorNo
Enumeration DateNovember 15, 2012
✔ NPI 1972847937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2769 NW 16TH ST, Oklahoma City, OK 73107
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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 Phil Jackson's NPI number?

The NPI number for Phil Jackson is 1972847937. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Phil Jackson located?

Phil Jackson practices at 2769 NW 16th St, Oklahoma City, OK 73107. The listed phone number is (405) 589-9578.

What is Phil Jackson'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 Phil Jackson was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.