Jack H Wilson , MA
Counselor • Stigler, 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, Jack Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jack Wilson, MA was a registered Counselor practicing in Stigler, OK. Throughout an active medical career spanning 9 years, Jack Wilson provided care at the practice location at 11730 HIGHWAY 9 WEST until profile deactivation on 2019-12-09.
Practice Location & Contact Primary Location
11730 Highway 9 West
Stigler, OK 74462
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Stigler, OK
Practicing in Stigler, 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 09, 2019
NPI status registered as active in NPPES database
Registered at 11730 HIGHWAY 9 WEST, STIGLER, OK 74462 (Tel: 9184130077)
Registered at 11730 HIGHWAY 9 WEST, STIGLER, OK 74462 (Tel: 9184130077)
Recorded as JACK WILSON, MA
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11730 Highway 9 West
Stigler, OK 74462
Phone: 9184130077
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