Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demetra Shan Jackson, BS

Individual provider Mental Health Counselor · NPI 1619228095

Demetra Shan Jackson, BS is a Mental Health Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

1116 SW 59th St Apt 1
Oklahoma City, OK 73109-4908
Phone: (405) 618-9411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1619228095
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedSeptember 26, 2012
Last updated in NPPESSeptember 26, 2012

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