MS. JACKIE LYNN BOUSEK ATR, LCPC
NPI 1063818649
Counselor - Professional in Chicago, IL

Active since November 10, 2014
2302 W NORTH AVE, #1E, CHICAGO, IL 60647(708) 320-8992 Get Directions Write a Review

NPPES record last updated: November 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 5, 2016, Oct 17, 2016 (2 updates tracked since 2016).

About Ms. Jackie Lynn Bousek Atr, Lcpc NPPES

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

MS. JACKIE LYNN BOUSEK ATR, LCPC (NPI 1063818649) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180010087) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1063818649
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JACKIE LYNN BOUSEKCredential: ATR, LCPC
Location Address2302 W NORTH AVE, #1EChicago, IL 60647-6260
Mailing Address2302 W North Ave, #1eChicago, IL 60647-6260 · (708) 320-8992
Sole ProprietorNo
Enumeration DateNovember 10, 2014
Last NPPES UpdateNovember 5, 20162 updates tracked since enumeration
NPI 1063818649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180010087 Licensed in IL · 178.009703
2302 W NORTH AVE, Chicago, IL 60647

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
2302 W NORTH AVE, 1E
CHICAGO, IL 60647
Social Worker (Clinical)
2302 W NORTH AVE
CHICAGO, IL 60647
Counselor
2302 W NORTH AVE, #1E
CHICAGO, IL 60647
Counselor (Professional)
2302 W NORTH AVE, UNIT 1E
CHICAGO, IL 60647
Counselor (Professional)
2302 W NORTH AVE
CHICAGO, IL 60647
Social Worker (Clinical)
2302 W NORTH AVE
CHICAGO, IL 60647
Marriage & Family Therapist
2302 W NORTH AVE, SUITE 1E
CHICAGO, IL 60647

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 Jackie Bousek's NPI number?

The NPI number for Jackie Bousek is 1063818649. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Jackie Bousek located?

Jackie Bousek practices at 2302 W North Ave #1e, Chicago, IL 60647. The listed phone number is (708) 320-8992.

What is Jackie Bousek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jackie Bousek was last updated on November 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.