MRS. MARNIE MONIKA JACKSON (NPI# 1205114683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205114683 |
| Entity Type | Individual |
| Full Name | MRS. MARNIE MONIKA JACKSON |
| Practice Address |
4528 S Sheridan Rd Tulsa OK 74145-1140 |
| Mailing Address |
1850 N Owasso Ave Tulsa OK 74106-4426 |
| Practice Telephone | 9186980493 |
| Mailing Telephone | 9186980493 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881805034 | Marnie Jackson | Anesthesiology | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2007-05-26 |
| Street Address |
4528 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366560617 | Ace Dui School, Inc. | Community/Behavioral Health | 4528 S Sheridan Rd, Suite 101, Tulsa, OK 74145-1140 | 2007-03-26 |
| 1144542358 | Todd A Cole | Counselor | 4528 S Sheridan Rd, Suite 101, Tulsa, OK 74145-1140 | 2010-02-16 |
| 1871815019 | Keith Mrozinski | Counselor | 4528 S Sheridan Rd, Ste 101, Tulsa, OK 74145-1140 | 2010-02-15 |
| 1821325218 | Linda Laird Paylor | Counselor | 4528 S Sheridan Rd, Tulsa, OK 74145-1140 | 2009-11-05 |
| 1750616421 | Markeita Davis | Counselor | 4528 S Sheridan Rd, 101, Tulsa, OK 74145-1140 | 2009-10-13 |
| 1194955799 | Christopher Scott Baker | Counselor | 4528 S Sheridan Rd, Ste 101, Tulsa, OK 74145-1140 | 2009-07-17 |
| 1669621629 | Smile Center, Inc. | Clinic/Center | 4528 S Sheridan Rd, Suite 112, Tulsa, OK 74145-1140 | 2008-09-15 |
| 1952507220 | Christine A Robinson | Counselor | 4528 S Sheridan Rd, Suite 101, Tulsa, OK 74145-1140 | 2007-06-25 |
| 1366565905 | Gwynette Maria Olden | Counselor | 4528 S Sheridan Rd, Tulsa, OK 74145-1140 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
| 1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
| 1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
| 1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
| 1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| Find all providers in TULSA | ||||
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| 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.