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CHEYENNE JACKSON BS
NPI 1154904209
Counselor - Mental Health in Mattoon, IL

Active since May 05, 2021
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5735 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cheyenne Jackson Bs NPPES

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

CHEYENNE JACKSON BS (NPI 1154904209) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1154904209
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHEYENNE JACKSONCredential: BS
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5735
Phone(217) 238-5735
Sole ProprietorNo
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1154904209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938
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Other Providers at the Same Location NPPES 20

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

KIAYA LOY MS, MHP
Counselor
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
NERISSA JONES BA
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5735
JESSICA MILBURN LCPC
Counselor (Professional)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
TAYLOR DOWNEY MS
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
ALLEN M. CREAMEAN B.S.
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
MADELEINE STONE
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
AMY KIRKMAN
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
DANIELLE NEWCOMER
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700

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 Cheyenne Jackson's NPI number?

The NPI number for Cheyenne Jackson is 1154904209. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Cheyenne Jackson located?

Cheyenne Jackson practices at 750 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 238-5735.

What is Cheyenne 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 Cheyenne Jackson was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.