Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972917037 Individual Practitioner Male Practitioner

Anthony Jackson

Counselor • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Anthony Jackson is a registered healthcare professional specializing in Counselor in Edmond, OK. Practice services are available at 1015 WATERWOOD PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 Waterwood Pkwy

Edmond, OK 730345327

Telephone 4058848085
Associated Practice Facility / Clinic
🏢 Edmondson Family Therapy Facility NPI 1659709608

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
149 Specialists

Practicing in Edmond, OK (4611 Statewide)

Telehealth Adoption Rate
0.7% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101Y00000X (OK)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1083932859

BHRSCM

Merina Joseph

Case Manager/Care Coordinator

NPI 1194021824
NPI 1609278811

Licensed Practical Nurse, Certified Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 1015 WATERWOOD PKWY, EDMOND, OK 730345327 (Tel: 4058848085)

📍
Updated Business Mailing Address June 17, 2014

Registered at PO BOX 18883, OKLAHOMA CITY, OK 731540883

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as ANTHONY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Counselor

🟢
Initial NPI Registration & Enumeration June 17, 2014

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: 1972917037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2014
Last Update: June 17, 2014
Sole Proprietor: Yes

Mailing Address

Po Box 18883

Oklahoma City, OK 731540883

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.