KENDAL'SPIRIT JACKSON LPC
NPI 1043034648
Counselor - Mental Health in Downers Grove, IL

Active since November 11, 2024
4932 MAIN ST, DOWNERS GROVE, IL 60515(847) 644-9043 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kendal'spirit Jackson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDAL'SPIRIT JACKSON LPC (NPI 1043034648) is an individual mental health provider in Downers Grove, Illinois, licensed in Illinois (178.020862) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1043034648
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENDAL'SPIRIT JACKSONCredential: LPC
Location Address4932 MAIN STDowners Grove, IL 60515-3611
Mailing Address4932 Main StDowners Grove, IL 60515-3611 · (847) 644-9043
Sole ProprietorNo
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
NPI 1043034648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.020862
4932 MAIN ST, Downers Grove, IL 60515

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4932 MAIN ST
DOWNERS GROVE, IL 60515
Counselor (Professional)
4932 MAIN ST
DOWNERS GROVE, IL 60515
Counselor (Professional)
4932 MAIN ST
DOWNERS GROVE, IL 60515
Marriage & Family Therapist
4932 MAIN ST
DOWNERS GROVE, IL 60515
Counselor (Professional)
4932 MAIN ST
DOWNERS GROVE, IL 60515
Marriage & Family Therapist
4932 MAIN ST
DOWNERS GROVE, IL 60515
Marriage & Family Therapist
4932 MAIN ST
DOWNERS GROVE, IL 60515
Counselor (Mental Health)
4932 MAIN ST
DOWNERS GROVE, IL 60515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendal'spirit Jackson's NPI number?

The NPI number for Kendal'spirit Jackson is 1043034648. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Kendal'spirit Jackson located?

Kendal'spirit Jackson practices at 4932 Main St, Downers Grove, IL 60515. The listed phone number is (847) 644-9043.

What is Kendal'spirit Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kendal'spirit Jackson was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.