Individual provider Active NPI

Patricia Jean Collins-Jackson, MS, LBP, LPC

  • Mental Health Counselor
  • Muskogee, OK
National Provider Identifier
1992883987
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0131 Issued in OK
Practice address
4009 Eufaula Ave
Muskogee, OK 74403-1132
Phone
(918) 682-2841
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0131 OK Primary
Professional Counselor 101YP2500X 3211 OK

Addresses

Primary practice location

4009 Eufaula Ave
Muskogee, OK 74403-1132

Mailing address

22022 E 143Rd St S
Coweta, OK 74429-6272
Phone (918) 279-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241011002238 TX Practitioner - Mental Health Counselor 7416489760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0131OKMDMental Health Counselor
3211OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Oct 13, 2024 Accepting new patients
Cherokee Nation CurrentSince Oct 13, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Muskogee County Council of Youth Services Past Accepting new patients
Muskogee County Council of Youth Service Past Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1992883987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22022 E 143RD ST S",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744296272",
            "telephone_number": "918-279-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 EUFAULA AVE",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031132",
            "telephone_number": "918-682-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-JACKSON",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "credential": "MS, LBP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "0131",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.