SHERRYL ANN JACKSON (NPI# 1154556330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154556330 |
| Entity Type | Individual |
| Full Name | SHERRYL ANN JACKSON |
| Other Name | SHERRYL ANN WHITE |
| Credential | L.P.C. |
| Practice Address |
118 S 1st St Ste A Blackwell OK 74631-2830 |
| Practice Telephone | 5806700050 |
| Mailing Telephone | 5806700050 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4806 | OK | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
118 S 1ST ST STE A |
| City | BLACKWELL |
| State | OK |
| Zip Code | 74631-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002481 | Arise Above Counseling Services LLC | Clinic/Center | 118 S 1st St Ste A, Blackwell, OK 74631-2830 | 2020-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205370194 | Northern Oklahoma Dental Associates Pllc | Clinic/Center | 427 W Doolin Ave, Blackwell, OK 74631 | 2016-12-12 |
| 1184799629 | Ronald Lee Matheson | Registered Nurse | 710 So 13th, Blackwell, OK 74631 | 2006-11-21 |
| 1750300992 | Christopher Ray Chenoweth | Optometrist | 202 E Blackwell, Blackwell, OK 74631 | 2006-07-19 |
| 1518983816 | Nita L Calvin | Physician Assistant | 710 S 13th, Blackwell, OK 74631 | 2006-07-14 |
| 1548629579 | Blackwell Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 119 N Main St, Blackwell, OK 74631 | 2016-02-18 |
| 1245210954 | Luther Wayne Ghormley | General Practice | 115 W Bridge Ave, Osler Clinic, Blackwell, OK 74631 | 2006-01-19 |
| 1255355723 | Triad Medical Inc | Durable Medical Equipment & Medical Supplies | 117 N Main, Blackwell, OK 74631-0854 | 2006-07-27 |
| 1255602355 | Blackwell Hmpn, LLC | Family Medicine | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2012-01-20 |
| 1821526468 | Kay County Oklahoma Hospital Company LLC | Family Medicine | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2017-05-26 |
| 1932634573 | Kay County Oklahoma Hospital Company LLC | Clinic/Center | 1005 W Doolin Ave, Blackwell, OK 74631-1350 | 2017-04-20 |
| Find all providers in zip 74631 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.