Robert Jackson
Robert Jackson is a Peer Specialist provider (Peer Specialist) practicing in Nowata, OK, registered in the NPPES registry with NPI 1174009039 since 2018. Practices at Grand Lake Mental Health Center, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174009039 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Robert Jackson |
| Sex | Male |
| Practice address | 114 W DELAWARE AVE, Nowata, OK, 74048 |
| Phone | 9182731841 |
| Enumeration date | 2018-07-13 |
| Last updated in NPPES | 2018-08-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | Primary | — | — |
Copy-ready billing details
Provider: Robert Jackson NPI: 1174009039 Taxonomy: 175T00000X (Peer Specialist) Address: 114 W DELAWARE AVE, Nowata, OK, 74048
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467460931 | Grand Lake Mental Health Center, Inc. | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Nowata, OK |
| 1003037565 | William Mosher | Individual | Mental Health Counselor | Nowata, OK |
| 1942414495 | Michele Pierce | Individual | Counselor | Nowata, OK |
| 1568690196 | Lynn Bartlett | Individual | Clinical Social Worker | Nowata, OK |
| 1811223795 | Brandy Gardner | Individual | Mental Health Counselor | Nowata, OK |
| 1013218064 | Jennifer Beck | Individual | Mental Health Counselor | Nowata, OK |
| 1932492774 | Billy Kilpatrick | Individual | Counselor | Nowata, OK |
| 1669859252 | Oren Crawford | Individual | Peer Specialist | Nowata, OK |
Verify this record
Cross-check NPI 1174009039 against the authoritative CMS record: view Robert Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Robert Jackson practice?
What is the NPI number for Robert Jackson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-13.