Jackie Horton LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5730 Issued in OK

Legal business name

JACKIE HORTON LLC

Practice address

RR 4 Box 854
Coalgate, OK 74538-9624

Phone

(580) 399-5398

Fax

(580) 927-2346

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jackie Horton, LPCNPI 1407175185

Title

Owner

Phone

(580) 399-5398

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackie Leann Horton

  • Mental Health Counselor
  • Coalgate, OK
  • NPI 1407175185
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1154702256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 854",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745389624",
            "telephone_number": "580-399-5398",
            "fax_number": "580-927-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 854",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745389624",
            "telephone_number": "580-399-5398",
            "fax_number": "580-927-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE HORTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-399-5398",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dell Hendrix, D.O.
• Kellton D'Andre de'Wayne Hollins
• Beau Hopkins
• Jackie Leann Horton
• Tina Hull
• Jenna Kennison
• Lakesa Mace, LPC
• Kevin Milam, R.T.(R)
• New Horizons Treatment Services LLC
• Palace Drug of Coalgate LLC (Palace Drug)

• Mental Health Counselor in Coalgate, OK
• Providers in Coalgate, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.