MRS. CANDICE JACKSON (NPI# 1346490042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346490042 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE JACKSON |
| Practice Address |
11614 Vail Dr Oklahoma City OK 73162-1644 |
| Mailing Address |
Po Box 720477 Oklahoma City OK 73172-0477 |
| Practice Telephone | 4053886048 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955924 | Candice S Jackson | Marriage & Family Therapist | 300 Se 1st Ave, Ocala, FL 34471-2169 | 2019-07-29 |
| 1891244851 | Candice Jackson | Assistant Behavior Analyst | 1222 Powell St, B, Norristown, PA 19401-3345 | 2016-09-30 |
| 1215358254 | Candice Epps Jackson | Counselor | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2013-12-18 |
| 1811298185 | Candice Renee Jackson | Licensed Practical Nurse | 2 Tuckahoe Ct, 308, Fairfield, OH 45014-4321 | 2010-11-03 |
| 1346705720 | Candice Latrice Jackson | Registered Nurse | 8325 E Southport Rd Ste 100, Indianapolis, IN 46259 | 2019-02-10 |
| 1720368616 | Candice Elizabeth Jackson | Occupational Therapy Assistant | 216 Union Church Rd, Carthage, NC 28327-7644 | 2011-08-23 |
| 1174778393 | Candice Jackson | Registered Nurse | 1235 Blue Leaf Dr, Richmond, TX 77469-6255 | 2008-12-02 |
| 1336319078 | Candice M Jackson | Social Worker | 627 W 4th St, Lexington, KY 40508-1207 | 2008-03-10 |
| Street Address |
11614 VAIL DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1215563077 | Beginning Steps | Counselor | 2709 S Magerus St, Oklahoma City, OK 73128-3215 | 2020-03-12 |
| 1932734431 | Debra Lynn Spears | Counselor | 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 | 2020-03-05 |
| 1659905024 | Ramona Martinez | Counselor | 2120 Sw 41st St, Oklahoma City, OK 73119-3614 | 2020-02-25 |
| 1699307058 | Caitlin Cox | Counselor | 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 | 2020-02-04 |
| 1760020283 | Casey Erin Marsh-shaevitz | Counselor | 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 | 2019-12-16 |
| 1255982229 | Kelli P Roland | Counselor | 1808 Ne 11th St, Oklahoma City, OK 73117-3606 | 2019-09-21 |
| 1609423979 | Shelia Macon | Counselor | 3309 Ne 18th St, Oklahoma City, OK 73121-2881 | 2019-08-21 |
| 1184285470 | Andrea Elura Clayton | Counselor | 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 | 2019-06-26 |
| 1578026779 | Jacquelyn Danielle Schoppa | Counselor | 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 | 2019-04-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
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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.