JESSICA JACKSON LPC
NPI 1306426564
Counselor - Professional in Bloomington, IL

Q: What is Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1306426564. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Jessica Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Jackson was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 12, 2021

906 E CHESTNUT ST, BLOOMINGTON, IL 61701(309) 445-3696 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2023, Jun 14, 2021, May 24, 2021 and 1 more (4 updates tracked since 2021).

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About Jessica Jackson Lpc NPPES

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

JESSICA JACKSON LPC (NPI 1306426564) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (180.014961) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1306426564

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA JACKSONCredential: LPC

Location Address906 E CHESTNUT STBloomington, IL 61701-3308

Mailing Address906 E Chestnut StBloomington, IL 61701-3308 · (309) 750-6496

Phone(309) 445-3696

Sole ProprietorYes

Enumeration DateApril 12, 2021

Last NPPES UpdateJanuary 3, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1306426564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.014961

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178.011232 (IL)

906 E CHESTNUT ST, Bloomington, IL 61701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1306426564. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Jessica Jackson located?

Jessica Jackson practices at 906 E Chestnut St, Bloomington, IL 61701. The listed phone number is (309) 445-3696.

What is Jessica Jackson'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 Jessica Jackson was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.