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ANTHONY JACKSON
NPI 1972917037
Counselor in Edmond, OK

Active since June 17, 2014
1015 WATERWOOD PKWY, EDMOND, OK 73034(405) 884-8085 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Jackson NPPES

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

ANTHONY JACKSON (NPI 1972917037) is an individual counselor in Edmond, Oklahoma and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1972917037
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameANTHONY JACKSON
Location Address1015 WATERWOOD PKWYEdmond, OK 73034-5327
Mailing AddressPo Box 18883Oklahoma City, OK 73154-0883
Phone(405) 884-8085
Sole ProprietorYes
Enumeration DateJune 17, 2014
✔ NPI 1972917037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
1015 WATERWOOD PKWY, Edmond, OK 73034
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Other Identifiers 1

Medicaid101Y00000XOK

Other Providers at the Same Location NPPES 4

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

MISS GAY FONTAINA WILLIS BHRS CM
Counselor
1015 WATERWOOD PKWY, G-N2
EDMOND, OK 73034
Oklahoma County (405) 863-2224
MISS MERINA K. JOSEPH
Case Manager/Care Coordinator
1015 WATERWOOD PKWY, GB2
EDMOND, OK 73034
Oklahoma County (405) 844-8085
ACHESEOPALIMA ICHI LPN, CMT
Massage Therapist
1015 WATERWOOD PKWY, STE. G, UNIT G-1
EDMOND, OK 73034
Oklahoma County (866) 755-7019
EDMONDSON FAMILY THERAPY
Community/Behavioral Health
1015 WATERWOOD PKWY, SUITE G, L-2
EDMOND, OK 73034
Oklahoma County (405) 315-7093

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 Anthony Jackson's NPI number?

The NPI number for Anthony Jackson is 1972917037. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Anthony Jackson located?

Anthony Jackson practices at 1015 Waterwood Pkwy, Edmond, OK 73034. The listed phone number is (405) 884-8085.

What is Anthony Jackson'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 Anthony Jackson was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.