Active NPI 1891078671 Individual Practitioner Male Practitioner

Carl Edward Jackson , MS LPC

Counselor - Professional • Altus, OK

Professional Overview & Biography Verified Profile Summary

Carl Jackson, MS LPC is a registered healthcare professional specializing in Counselor - Professional in Altus, OK. Practice services are available at 120 W BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

120 W Broadway St

Altus, OK 735213802

Telephone 5809545966

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Altus, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.4 Yrs

Regional Practice Density

14 Specialists

Practicing in Altus, OK (2681 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-08

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 6694

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Sandy Bourgeois , LPC

Counselor - Professional

NPI 1447269634

Licensed Professional Counselor

Sara Jackson , MS LPC

Counselor - Professional

NPI 1992024228

MSLPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location October 08, 2020

Registered at 120 W BROADWAY ST, ALTUS, OK 735213802 (Tel: 5809545966)

📍

Updated Business Mailing Address October 08, 2020

Registered at 120 W BROADWAY ST, ALTUS, OK 735213802 (Tel: 5809545966)

👤

Provider Name / Credentials Updated October 08, 2020

Recorded as CARL JACKSON, M.S. LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2020

Counselor (License #6694 in OK)

✅

NPI Profile Active March 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2016

Registered at 2215 NW CACHE RD, SUITE 107, LAWTON, OK 735055239 (Tel: 5803519998)

📍

Updated Business Mailing Address March 15, 2016

Registered at 2215 NW CACHE RD, SUITE 107, LAWTON, OK 735055239 (Tel: 5803519998)

👤

Provider Name / Credentials Updated March 15, 2016

Recorded as CARL JACKSON, M.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891078671

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 28, 2011

Last Update: October 08, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

120 W Broadway St

Altus, OK 735213802

Phone: 5809545966

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.