Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326485582 Individual Practitioner Female Practitioner

Deetra Jackson

Counselor • Idabel, OK

Professional Overview & Biography Verified Profile Summary

Deetra Jackson is a registered healthcare professional specializing in Counselor in Idabel, OK. Practice services are available at 411 S CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 S Central Ave

Idabel, OK 747456059

Telephone 5802865045
Fax 5802865721
Associated Practice Facility / Clinic
🏢 Sequelcare Of Oklahoma, Llc Facility NPI 1740344290

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Idabel, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Idabel, OK (4611 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

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Kassandra Busse

Health Educator

NPI 1023559663
Barbara Lumsden , LPC, LADC, MBS

Counselor - Mental Health

NPI 1083823876

Licensed Professional Counselor, Licensed Alcohol and Drug Counselor, MBS

George Haslam

Counselor - Mental Health

NPI 1083889158
Carley Harp

Health Educator

NPI 1114308665
Reonda Rice , LPN

Licensed Practical Nurse

NPI 1124412648

Licensed Practical Nurse

Kimberly Battiest

Licensed Practical Nurse

NPI 1134604945

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2013

Registered at 411 S CENTRAL AVE, IDABEL, OK 747456059 (Tel: 5802865045)

📍
Updated Business Mailing Address May 29, 2013

Registered at 107 S HIGH ST, ANTLERS, OK 745233818 (Tel: 5802982830)

👤
Provider Name / Credentials Updated May 29, 2013

Recorded as DEETRA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Counselor

🟢
Initial NPI Registration & Enumeration May 29, 2013

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: 1326485582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2013
Last Update: May 29, 2013
Sole Proprietor: No

Mailing Address

107 S High St

Antlers, OK 745233818

Phone: 5802982830

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.