SARA LAFAWN JACKSON (NPI# 1992024228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992024228 |
| Entity Type | Individual |
| Full Name | SARA LAFAWN JACKSON |
| Credential | M.S. LPC |
| Practice Address |
120 W Broadway St Altus OK 73521-3802 |
| Practice Telephone | 5806498355 |
| Practice Fax Number | 5803794010 |
| Mailing Telephone | 5806498355 |
| Mailing Fax Number | 5806498355 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
4704 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713926 | Sara Jackson | Behavior Technician | 15 Seagroves St, Wilton, NH 03086 | 2020-02-26 |
| 1194342436 | Sara Jackson | Social Worker | 2029 Buchanan St, Kansas City, MO 64116 | 2020-07-02 |
| 1023632080 | Sara Anne Pili Jackson | Counselor | 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 | 2020-06-04 |
| 1689223646 | Sara L Jackson | Registered Nurse | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2019-09-11 |
| 1710546106 | Sara Jackson | Dentist | 8217 Wicker Ave, Saint John, IN 46373-8878 | 2019-06-10 |
| 1629560495 | Sara Elizabeth Jackson | Behavior Technician | 231 Se Barrington Dr Ste 203, Oak Harbor, WA 98277-3200 | 2018-06-06 |
| 1548758972 | Sara Michelle Jackson | Behavior Technician | 6210 75th St W Ste B100, Lakewood, WA 98499-8109 | 2018-05-01 |
| 1992205108 | Sara Izora Jackson | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-02-14 |
| 1295123602 | Sara Jackson | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2015-01-07 |
| 1013312487 | Sara Ann Jackson | Registered Nurse | 1969 W Hart Rd, Beloit Health System Inc, Beloit, WI 53511-2230 | 2014-10-28 |
| Street Address |
120 W BROADWAY ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269634 | Sandy Bourgeois | Counselor | 120 W Broadway St, Altus, OK 73521-3802 | 2006-08-05 |
| 1891078671 | Carl Edward Jackson | Counselor | 120 W Broadway St, Altus, OK 73521-3802 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669899761 | Alice Darlene Irby | Counselor | 123 W Commerce St, Altus, OK 73521-3850 | 2014-03-26 |
| 1356653885 | Cynthia D Allen | Counselor | 319 N Hudson St, Altus, OK 73521-3709 | 2010-07-13 |
| 1285103796 | Altus Family Counseling, LLC | Counselor | 305 N Hudson St, Altus, OK 73521-3709 | 2018-11-14 |
| 1275952814 | Katrina L Ellis | Counselor | 111 N Hudson St, Altus, OK 73521-3811 | 2014-04-10 |
| 1891078671 | Carl Edward Jackson | Counselor | 120 W Broadway St, Altus, OK 73521-3802 | 2011-09-28 |
| 1952681769 | Jennifer Michelle Dohlman | Counselor | 1200 E Tamarack Rd, Altus, OK 73521-1234 | 2011-08-24 |
| 1114249521 | Tonya Elaine Boots | Counselor | 118 N Main St, Altus, OK 73521-3102 | 2010-02-26 |
| 1669625190 | Sherry Ann Woolwine | Counselor | 1200 E Tamarack Rd, Altus, OK 73521-1234 | 2008-10-28 |
| 1003021106 | Suzie Deann Braddock | Counselor | 3000 N Main St, Suite C, Altus, OK 73521-1348 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1093328346 | Kathryn Glover Bishop | Counselor | 5921 E 97th St, Tulsa, OK 74137-5011 | 2020-08-26 |
| 1528670239 | Grand Lake Therapeutics LLC | Counselor | 1441 Lakeside Dr, Grove, OK 74344-4223 | 2020-08-24 |
| 1164034898 | Heather Jean Miller | Counselor | 1320 E 9th St Ste 8, Edmond, OK 73034-5773 | 2020-08-24 |
| 1225640337 | Michelle Davis Gannaway | Counselor | 13315 N Coltrane Rd, Edmond, OK 73013-8257 | 2020-08-19 |
| 1841801321 | Yolanda Cummings Counseling, Inc. | Counselor | 24900 County Road 1512, Ada, OK 74820-0994 | 2020-08-10 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1396369286 | Advocate for Mental Health Services LLC | Counselor | 1300 Mcgee Dr Ste 103, Norman, OK 73072-5858 | 2020-06-05 |
| 1639791221 | Santa Gladys Velez | Counselor | 1215 Crossroads Blvd Ste 212, Norman, OK 73072-3391 | 2020-05-18 |
| 1801415898 | Powerful Design Consulting, LLC | Counselor | 122 E Woodcraft Rd, Bennington, OK 74723-1833 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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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.