IndividualActive
Derisha Jackson
NPI 1780968628 · Counselor · Midwest City, OK
Derisha Jackson is a Counselor provider in Midwest City, OK (NPI 1780968628).
Provider details
- NPI number
- 1780968628
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
351 N Air Depot Blvd
Suite S
Midwest City, OK 73110-1700
Phone: (405) 610-6540
Street-level locationGet directions
Mailing address
13525 N Hollow Rock Rd.
Oklahoma City, OK 73120
Registry dates
- Enumerated
- 2011-10-10
- Last updated
- 2011-10-10
Frequently asked questions
- What is Derisha Jackson's NPI number?
- Derisha Jackson's National Provider Identifier (NPI) is 1780968628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derisha Jackson's specialty?
- Derisha Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Derisha Jackson located?
- Derisha Jackson's practice location on file with NPPES is 351 N Air Depot Blvd, Midwest City, OK 73110-1700.
- What is Derisha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Derisha Jackson is (405) 610-6540.
- Is Derisha Jackson's NPI active?
- Yes — Derisha Jackson's NPI (1780968628) is active in the NPPES registry as of the last update on 2011-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.