TRACI BRENEE JACKSON (MS, LPC CANDIDATE) – Mental Health Counselor, NPI 1164736278

TRACI BRENEE JACKSON (MS, LPC CANDIDATE) is a healthcare provider. based in Wewoka, Oklahoma. specializing in Mental Health Counselor. They hold the professional credentials MS, LPC CANDIDATE. The NPI Number for TRACI BRENEE JACKSON (MS, LPC CANDIDATE) is 1164736278

Main info

Female
Name
TRACI BRENEE JACKSON (MS, LPC CANDIDATE)
NPI
1164736278
Phone
(580) 399-8384
Address
36477 EW 1320
Enumeration Date
30 July 2010
Last Update Date
19 January 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for TRACI BRENEE JACKSON (MS, LPC CANDIDATE)

  • 36477 EW 1320

    WEWOKA, OK 748848820

    Phone: (580) 399-8384

    Type: Mailing

  • 300 E. SEMINOLE

    SEMINOLE, OK 74858

    Phone: (405) 382-2940

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74884)

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Frequently asked questions

What federal number belongs to TRACI BRENEE JACKSON (MS, LPC CANDIDATE)?
The federal identifier for TRACI BRENEE JACKSON (MS, LPC CANDIDATE) is NPI 1164736278.
Is TRACI BRENEE JACKSON (MS, LPC CANDIDATE)'s NPI currently valid?
The extract we use shows TRACI BRENEE JACKSON (MS, LPC CANDIDATE) as active.
What does TRACI BRENEE JACKSON (MS, LPC CANDIDATE) treat or focus on?
Patients typically see TRACI BRENEE JACKSON (MS, LPC CANDIDATE) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is TRACI BRENEE JACKSON (MS, LPC CANDIDATE)'s primary listing?
We display Wewoka, Oklahoma because that is what the record indicates for TRACI BRENEE JACKSON (MS, LPC CANDIDATE).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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