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SHELBY RENEE JACKSON
NPI 1285363614
Counselor - Mental Health in Charleston, IL

Active since June 09, 2022
1836 VICTORIA LN, CHARLESTON, IL 61920(217) 508-8080(217) 512-2288 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby Renee Jackson NPPES

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

SHELBY RENEE JACKSON (NPI 1285363614) is an individual mental health provider in Charleston, Illinois and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1285363614
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELBY RENEE JACKSON
Location Address1836 VICTORIA LNCharleston, IL 61920-2964
Mailing Address1836 Victoria LnCharleston, IL 61920-2964 · (217) 508-8080 · Fax (217) 512-2288
Phone(217) 508-8080
Fax(217) 512-2288
Sole ProprietorNo
Enumeration DateJune 9, 2022
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1285363614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1836 VICTORIA LN, Charleston, IL 61920
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Other Providers at the Same Location NPPES 13

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

KADARRIOUS HOOKS BA
Counselor (Mental Health)
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080
CHUCK L MASON BS
Counselor (Mental Health)
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080
NEURO HARMONY PLLC
Counselor (Professional)
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080
ALEXIS DAWN BLACK
Counselor
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080
JULIE ANNE WALTERS MS, LSW
Social Worker
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080
NORRIANNA BARRON HAYES
Counselor
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080
ANGELA MARIE RANKIN MA
Counselor (Professional)
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-7953
MELISSA N DEGIORGIS MSW
Social Worker
1836 VICTORIA LN
CHARLESTON, IL 61920
Coles County (217) 508-8080

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 Shelby Jackson's NPI number?

The NPI number for Shelby Jackson is 1285363614. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Shelby Jackson located?

Shelby Jackson practices at 1836 Victoria Ln, Charleston, IL 61920. The listed phone number is (217) 508-8080.

What is Shelby 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 Shelby Jackson was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.