LATIARA JACKSON MA COUNSELING
NPI 1295521300
Counselor - Mental Health in Chicago, IL

Active since April 16, 2025
3410 W ROOSEVELT RD, CHICAGO, IL 60624(312) 728-4430 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latiara Jackson Ma Counseling NPPES

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

LATIARA JACKSON MA COUNSELING (NPI 1295521300) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1295521300
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLATIARA JACKSONCredential: MA COUNSELING
Location Address3410 W ROOSEVELT RDChicago, IL 60624-4343
Mailing Address3410 W Roosevelt RdChicago, IL 60624-4343
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1295521300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3410 W ROOSEVELT RD, Chicago, IL 60624

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.

Social Worker (Clinical)
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Peer Specialist
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Counselor (Mental Health)
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Social Worker
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Social Worker (Clinical)
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Clinic/Center (Rehabilitation, Substance Use Disorder)
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Peer Specialist
3410 W ROOSEVELT RD
CHICAGO, IL 60624
Social Worker
3410 W ROOSEVELT RD
CHICAGO, IL 60624

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 Latiara Jackson's NPI number?

The NPI number for Latiara Jackson is 1295521300. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Latiara Jackson located?

Latiara Jackson practices at 3410 W Roosevelt Rd, Chicago, IL 60624. The listed phone number is (312) 728-4430.

What is Latiara 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 Latiara Jackson was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.