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MRS. JACKIE E SKINNER BA
NPI 1104104983
Counselor - Mental Health in Broadview, IL

Active since July 28, 2011
1820 S 25TH AVE, BROADVIEW, IL 60155(708) 338-3806(708) 410-0744 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jackie E Skinner Ba NPPES

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

MRS. JACKIE E SKINNER BA (NPI 1104104983) is an individual mental health provider in Broadview, Illinois and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1104104983
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JACKIE E SKINNERCredential: BA
Location Address1820 S 25TH AVEBroadview, IL 60155-2864
Mailing Address1820 S 25th AveBroadview, IL 60155-2864 · (708) 338-3806 · Fax (708) 410-0744
Phone(708) 338-3806
Fax(708) 410-0744
Sole ProprietorYes
Enumeration DateJuly 28, 2011
✔ NPI 1104104983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1820 S 25TH AVE, Broadview, IL 60155
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Other Providers at the Same Location NPPES 12

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

MISS JAMIE L DOBKOWSKI
Counselor (Mental Health)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 681-0073
MS. JEAN MAYS LCSW
Social Worker (Clinical)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 338-3806
NADIA GOMEZ-MORAN
Counselor (Mental Health)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 681-0073
MS. GENOVEVA PEREZ AA
Counselor (Mental Health)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 410-0615
MR. THOMAS ALAN PLACH LCSW
Social Worker (Clinical)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 338-3806
PRESENCE BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 338-3806
MS. MARIA ANDREA MARCHETTI AA
Counselor (Mental Health)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 338-3806
GRACE MAYER
Counselor (Mental Health)
1820 S 25TH AVE
BROADVIEW, IL 60155
Cook County (708) 681-0073

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 Skinner's NPI number?

The NPI number for Jackie Skinner is 1104104983. It was assigned to this individual provider in the NPPES registry on July 28, 2011.

Where is Jackie Skinner located?

Jackie Skinner practices at 1820 S 25th Ave, Broadview, IL 60155. The listed phone number is (708) 338-3806.

What is Jackie Skinner'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 Jackie Skinner was last updated on July 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.