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

Mr. Phil Leodis Jackson Jr.

Individual provider Mental Health Counselor · NPI 1972847937

Mr. Phil Leodis Jackson Jr. is a Mental Health Counselor in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012

Practice location Address checks out

2769 NW 16th St
Oklahoma City, OK 73107-4843
Phone: (405) 589-9578
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OK)

Record details

NPI number1972847937
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012

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