MRS. MARY ELIZABETH JACKSON (NPI# 1659620268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659620268 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELIZABETH JACKSON |
| Other Name | MARY FRAZIER |
| Practice Address |
4101 Perimeter Center Dr Suite 250 Oklahoma City OK 73112-2302 |
| Practice Telephone | 4057510800 |
| Practice Fax Number | 4057516488 |
| Mailing Telephone | 4057510800 |
| Mailing Fax Number | 4057516488 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2013-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
4101 PERIMETER CENTER DR SUITE 250 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871651802 | Choices for Life Foster Care, Inc | Community/Behavioral Health | 4101 Perimeter Center Dr, Suite 250, Oklahoma City, OK 73112-2302 | 2006-12-04 |
| 1417403940 | Christina Philip | Nurse Practitioner | 4101 Perimeter Center Dr, Oklahoma City, OK 73112-2302 | 2016-08-25 |
| 1407211444 | Choices for Life Foster Care Inc. | Foster Care Agency | 4101 Perimeter Center Dr, Suite 250, Oklahoma City, OK 73112-2302 | 2015-12-17 |
| 1477835718 | Kristi Lynn Selensky | Counselor | 4101 Perimeter Center Dr, Ste. 250, Oklahoma City, OK 73112-2302 | 2011-09-13 |
| 1497036313 | Melissa Evans | Social Worker | 4101 Perimeter Center Dr, Ste #250, Oklahoma City, OK 73112-2302 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on MRS. MARY ELIZABETH JACKSON.
| 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.