MR. KRISHAUN JACKSON


Address: 10901 N.e 59th St., Spencer, OK 73084
Phone: 4058817080

MR. KRISHAUN JACKSON (NPI# 1144580341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144580341
Entity Type Individual
Full Name MR. KRISHAUN JACKSON
Practice Address 10901 N.e 59th St.
Spencer
OK 73084
Mailing Address 10901 Ne 59th St
Spencer
OK 73084-5019
Practice Telephone 4058817080
Enumeration Date 2012-05-22
Last Update Date 2012-05-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 10901 N.E 59TH ST.
City SPENCER
State OK
Zip Code 73084

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740728070 Tracy Smith Social Worker 8507 Ne 47th Street, Spencer, OK 73084 2017-02-07
1316484751 Marcus Alexander Case Manager/Care Coordinator 8226 Ne 26 St, Spencer, OK 73084 2017-01-24
1538589957 Marcy Thornton Counselor #5 Rock N Horse, Spencer, OK 73084 2014-04-24
1710313457 Janice Kemp Counselor 8717 Ne 47th, Spencer, OK 73084 2013-09-25
1629402367 Robert Benard Smith II Behavioral Analyst 8900 Ne 51 St, Spencer, OK 73084 2013-08-29
1508201765 Marlon T James Counselor 3711 Red Bud Dr, Spencer, OK 73084 2013-05-01
1326317074 Jamie Tyrell Thompson Behavioral Analyst 7924 Glory Road, Spencer, OK 73084 2011-12-27
1770860793 Wendy Jones Counselor 8904 N.e 45th St., Spencer, OK 73084 2011-11-04
1114258605 Florence Yvonne Alexander Counselor 12724 Ne 38th, Spencer, OK 73084 2010-01-22
1396858015 Karen Marshall Dietitian, Registered 12716 N.e. 36th St., Spencer, OK 73084 2006-08-16
Find all providers in zip 73084

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164985974 Jennifer Thomas Counselor 8917 Cecile Pl, Spencer, OK 73084-3529 2019-04-09
1629434238 Sharane Olds Counselor 3554 Spencer Rd, Spencer, OK 73084-3237 2016-01-12
1144642372 Linda Jacobs Counselor 8913 Cecile Pl, Spencer, OK 73084-3529 2014-01-07
1710313457 Janice Kemp Counselor 8717 Ne 47th, Spencer, OK 73084 2013-09-25
1699108886 Patricia Re'na Maten Counselor 8624 Ne 33rd St, Spencer, OK 73084-3253 2013-08-12
1629314380 Kayla S Frost Counselor 12629 Ne 38th St, Spencer, OK 73084-9156 2012-12-27
1871847269 Sheryle Portis Counselor 2808 Zachary Pl, Spencer, OK 73084-3500 2012-11-06
1477813020 Deitra Ann Woody Counselor 10920 Ne 52nd St, Spencer, OK 73084-5217 2012-05-16
1972862985 Quanton D Ware Counselor 8321 Ne 33rd St, Spencer, OK 73084-3103 2012-05-10
1275804254 Ann S Mcpherson Counselor 9315 Ne 45th St, Spencer, OK 73084-2505 2012-01-23
Find all providers in SPENCER

Competitor

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City SPENCER
Zip Code 73084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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