Judy Ellen Jackson , MASTER OF SOCIAL WEL
Counselor • Okmulgee, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judy Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Judy Jackson, MASTER OF SOCIAL WEL was a registered Counselor practicing in Okmulgee, OK. Throughout an active medical career spanning 14 years, Judy Jackson provided care at the practice location at 1950 N OKMULGEE until profile deactivation on 2025-05-29.
Practice Location & Contact Primary Location
1950 N Okmulgee
Okmulgee, OK 744476534
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Okmulgee, OK
Practicing in Okmulgee, OK (4611 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Counselor
MASTEROFARTSINCH
Counselor
Counselor
Counselor
Counselor
Master of Arts, Licensed Professional Counselor
Counselor
Licensed Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 29, 2025
NPI status registered as active in NPPES database
Registered at 1950 N OKMULGEE, OKMULGEE, OK 744476534 (Tel: 9187567700)
Registered at 1950 N OKMULGEE, OKMULGEE, OK 744476534 (Tel: 9187567700)
Recorded as JUDY JACKSON, MASTER OF SOCIAL WEL
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1950 N Okmulgee
Okmulgee, OK 744476534
Phone: 9187567700
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