Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831649276 Individual Practitioner Female Practitioner

Jackie Lynn Shamsollahi , MS, LPC

Counselor • Durant, OK

Professional Overview & Biography Verified Profile Summary

Jackie Shamsollahi, MS, LPC is a registered healthcare professional specializing in Counselor in Durant, OK. Practice services are available at 324 N WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

324 N Washington Ave

Durant, OK 747013642

Telephone 5809313008
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Durant, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
71 Specialists

Practicing in Durant, OK (4611 Statewide)

Telehealth Adoption Rate
1.4% 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: 2024-08-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License None 1853

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OK 1853

Definition to come...

Practice Associates & Co-Workers

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

39 Associated Practitioners
Melissa Holaday , LBP

Counselor - Mental Health

NPI 1003147414
Natasha Tom

Counselor - Mental Health

NPI 1003246505
NPI 1083070395
D'awna Burns , BHRS

Counselor - Mental Health

NPI 1083997829
Kerri Wyrick

Counselor

NPI 1104163724
Rebekah Hartman , BHRS

Clinic/Center - Mental Health (Including Community Mental Health Center)

NPI 1104196385

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 21, 2024

Registered at 324 N WASHINGTON AVE, DURANT, OK 747013642 (Tel: 5809313008)

📍
Updated Business Mailing Address August 21, 2024

Registered at 401 NORTHRIDGE DR, DURANT, OK 747012561 (Tel: 4058807301)

NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2016

Registered at 134 N 12TH AVE, DURANT, OK 747014718 (Tel: 5809246363)

📍
Updated Business Mailing Address October 10, 2016

Registered at 134 N 12TH AVE, DURANT, OK 747014718 (Tel: 5809246363)

👤
Provider Name / Credentials Updated October 10, 2016

Recorded as JACKIE SHAMSOLLAHI, MS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Counselor (License #1853 in OK)

🟢
Initial NPI Registration & Enumeration October 10, 2016

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: 1831649276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2016
Last Update: August 21, 2024
Sole Proprietor: Yes

Mailing Address

401 Northridge Dr

Durant, OK 747012561

Phone: 4058807301

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.