Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477849826 Individual Practitioner Female Practitioner

Stacey Jo Jackson , BHRS

Specialist • Idabel, OK

Professional Overview & Biography Verified Profile Summary

Stacey Jackson, BHRS is a registered healthcare professional specializing in Specialist in Idabel, OK. Practice services are available at 17 S CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17 S Central Ave

Idabel, OK 747454625

Telephone 5803060303
Associated Practice Facility / Clinic
🏢 The Mental Health Center, Inc Facility NPI 1821189671

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Idabel, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Idabel, OK (463 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

35 Associated Practitioners
NPI 1023269164

Bachelor of Science, Master of Education

Tina Simer

Counselor

NPI 1023373453
Denise Kuykendall , CM

Case Manager/Care Coordinator

NPI 1033411392
Gail Romines

Specialist

NPI 1063557528
NPI 1104955202

Master of Education, PSYCHOLOGIST

Lisa Hardaway

Behavior Technician

NPI 1134974207

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2011

Registered at 17 S CENTRAL AVE, IDABEL, OK 747454625 (Tel: 5803060303)

📍
Updated Business Mailing Address June 23, 2011

Registered at RR 3 BOX 421, BROKEN BOW, OK 747289204 (Tel: 5803060303)

👤
Provider Name / Credentials Updated June 23, 2011

Recorded as STACEY JACKSON, BHRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Specialist

🟢
Initial NPI Registration & Enumeration June 23, 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: 1477849826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2011
Last Update: June 23, 2011
Sole Proprietor: Yes

Mailing Address

Rr 3 Box 421

Broken Bow, OK 747289204

Phone: 5803060303

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.