MR. RICHARD HILLARY JACKSON SR.


Address: 1209 Sovereign Row, Oklahoma City, OK 73108-1824
Phone: 4059425570

MR. RICHARD HILLARY JACKSON SR. (NPI# 1326206145) 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) 1326206145
Entity Type Individual
Full Name MR. RICHARD HILLARY JACKSON SR.
Credential LPC
Practice Address 1209 Sovereign Row
Oklahoma City
OK 73108-1824
Mailing Address 7746 Doris Dr
Oklahoma City
OK 73162-4387
Practice Telephone 4059425570
Practice Fax Number 4059425603
Mailing Telephone 4057224183
Enumeration Date 2008-05-29
Last Update Date 2008-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 2149 OK Behavioral Health & Social Service Providers

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1366483406 Richard D Jackson Family Medicine 29 Eastbrook Rd, Ronks, PA 17572-9769 2006-06-09
1659328060 Richard Jackson Emergency Medicine 505 Regency Xing, Southlake, TX 76092-9501 2006-05-30
1174587505 Richard E Jackson Physician Assistant 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 2006-04-13

Office Location

Street Address 1209 SOVEREIGN ROW
City OKLAHOMA CITY
State OK
Zip Code 73108-1824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285620377 Emmett Reaford Roberts Jr. Social Worker 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2005-09-23
1043579931 Kayla J. Butler Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2012-05-11
1437461365 Specialized Alternatives for Families and Youth Foster Care Agency 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2010-07-08
1124330063 Ramona Hicks Foster Care Agency 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2010-07-08
1164752069 Margaret Robin Parks-franz Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2009-12-28
1962669788 Tonna Kay Deal Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2008-05-20
1427268606 Sherrie Lanette Dunn Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2007-05-23
1699982504 Vickie Rhea Yearwood Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2007-05-17
1235250184 Johnna M Dickenson-ortega Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2007-04-02
1740308949 Ira M Wright Counselor 1209 Sovereign Row, Oklahoma City, OK 73108-1824 2007-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316477714 Dionna Danielle Weixel Counselor 4341 Will Rogers Parkway, Oklahoma City, OK 73108 2017-06-18
1497205389 Amber Croom Case Manager/Care Coordinator 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 2016-10-04
1063837524 Bobby King Counselor 401 46th St., Oklahoma City, OK 73108 2014-02-20
1104167816 Chad Jeffrey Perry Physical Therapy Assistant 238 Quadrum Drive, Oklahoma City, OK 73108 2013-03-05
1295071918 Avalon Corrections Case Management 400 S. May, Oklahoma City, OK 73108 2012-12-28
1164608790 American Current Care P.a. Clinic/Center 200 Quadrum Drive, Oklahoma City, OK 73108 2008-01-14
1790960672 Fresh Start Counseling Services Inc Community/Behavioral Health 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 2008-01-09
1366644577 Saints Medical Group, LLC Physician Assistant 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 2007-06-01
1902027287 Joel William Corn Family Medicine 1506 S Agnew, Okha City, OK 73108 2007-05-02
1851493944 Good Shepherd Hospice Inc Hospice Care, Community Based 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 2006-09-01
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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
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1215563077 Beginning Steps Counselor 2709 S Magerus St, Oklahoma City, OK 73128-3215 2020-03-12
1932734431 Debra Lynn Spears Counselor 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 2020-03-05
1659905024 Ramona Martinez Counselor 2120 Sw 41st St, Oklahoma City, OK 73119-3614 2020-02-25
1699307058 Caitlin Cox Counselor 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 2020-02-04
1760020283 Casey Erin Marsh-shaevitz Counselor 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 2019-12-16
1255982229 Kelli P Roland Counselor 1808 Ne 11th St, Oklahoma City, OK 73117-3606 2019-09-21
1609423979 Shelia Macon Counselor 3309 Ne 18th St, Oklahoma City, OK 73121-2881 2019-08-21
1184285470 Andrea Elura Clayton Counselor 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 2019-06-26
1578026779 Jacquelyn Danielle Schoppa Counselor 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 2019-04-13
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Competitor

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City OKLAHOMA CITY
Zip Code 73108

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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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