JESSA CARLSON MA, LPC, NCC
NPI 1326654146
Counselor - Professional in Peoria, IL

Q: What is Jessa Carlson's NPI number?

The NPI number for Jessa Carlson is 1326654146. It was assigned to this individual provider in the NPPES registry on September 17, 2020. The provider is also known as Jessa Wakid.

Q: What is Jessa Carlson'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 Jessa Carlson was last updated on September 17, 2020. 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.

Active since September 17, 2020

3516 W HARMON HWY, PEORIA, IL 61604(309) 712-3962 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessa Carlson Ma, Lpc, Ncc NPPES

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

JESSA CARLSON MA, LPC, NCC (NPI 1326654146) is an individual professional provider in Peoria, Illinois, licensed in Illinois (178.016220) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1326654146

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSA CARLSONCredential: MA, LPC, NCC

Location Address3516 W HARMON HWYPeoria, IL 61604-5925

Mailing Address3516 W Harmon HwyPeoria, IL 61604-5925 · (309) 712-3962

Phone(309) 712-3962

Sole ProprietorYes

Enumeration DateSeptember 17, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1326654146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178.016220

3516 W HARMON HWY, Peoria, IL 61604

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Other Names 1

Former Name (1)Jessa Wakid

Other Providers at the Same Location NPPES

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

JOHN WESTERBERG LPC

Counselor (Professional)

3516 W HARMON HWY
PEORIA, IL 61604

Peoria County (612) 419-8765

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 Jessa Carlson's NPI number?

The NPI number for Jessa Carlson is 1326654146. It was assigned to this individual provider in the NPPES registry on September 17, 2020. The provider is also known as Jessa Wakid.

Where is Jessa Carlson located?

Jessa Carlson practices at 3516 W Harmon Hwy, Peoria, IL 61604. The listed phone number is (309) 712-3962.

What is Jessa Carlson'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 Jessa Carlson was last updated on September 17, 2020. 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.