Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174009039 Individual Practitioner Male Practitioner

Robert Jackson

Peer Specialist • Nowata, OK

Professional Overview & Biography Verified Profile Summary

Robert Jackson is a registered healthcare professional specializing in Peer Specialist in Nowata, OK. Practice services are available at 114 W DELAWARE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

114 W Delaware Ave

Nowata, OK 74048

Telephone 9182731841
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Nowata, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Nowata, OK (5280 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
William Mosher , MS, LPC, LADC

Counselor - Mental Health

NPI 1003037565

Master of Science, Licensed Professional Counselor, Licensed Alcohol and Drug Counselor

Jennifer Boer

Case Manager/Care Coordinator

NPI 1003315078
Cheyenne Eddings

Case Manager/Care Coordinator

NPI 1003560467
Tiffanie Worthy

Peer Specialist

NPI 1013591684
Stephanie Stacy

Peer Specialist

NPI 1013595453
Charles Danley , MS

Counselor - Mental Health

NPI 1023238235

Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2018

Registered at 114 W DELAWARE AVE, NOWATA, OK 74048 (Tel: 9182731841)

📍
Updated Business Mailing Address August 13, 2018

Registered at 114 W DELAWARE AVE, NOWATA, OK 740482601 (Tel: 9182731841)

👤
Provider Name / Credentials Updated August 13, 2018

Recorded as ROBERT JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 13, 2018

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: 1174009039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2018
Last Update: August 13, 2018
Sole Proprietor: No

Mailing Address

114 W Delaware Ave

Nowata, OK 740482601

Phone: 9182731841

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.