Mary Elizabeth Jackson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4101 Perimeter Center Dr
Suite 250
Oklahoma City, OK 73112-2302

Phone

(405) 751-0800

Fax

(405) 751-6488

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Frazier Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1275528085
  Medicare reassignment NPD
• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1215922844
  NPD
• Morton Comprehensive Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
  • NPI 1457166522
  NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1659620268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PERIMETER CENTER DR",
            "address_2": "SUITE 250",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122302",
            "telephone_number": "405-751-0800",
            "fax_number": "405-751-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PERIMETER CENTER DR",
            "address_2": "SUITE 250",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122302",
            "telephone_number": "405-751-0800",
            "fax_number": "405-751-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FRAZIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lonnie Jackson
• Madyson Noelle Jackson
• Malarie Jackson
• Marielle Emma Jackson
• Marlene Marie Jackson
• Megan E Jackson, LCSW
• Meredith P Jackson, CRNA
• Morris Allen Jackson, BA
• Nekia Jackson
• Pamala Dee Jackson, P.T.

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.