1. Home
  2. Directory
  3. Illinois
  4. Carbondale
  5. Counselor
  6. NPI Profile

SOUTHERN ILLINOIS COUNSELING PLLC
NPI 1356214084
Counselor - Professional in Carbondale, IL

Active since September 29, 2025
608 S FOREST AVE, CARBONDALE, IL 62901(618) 924-5633 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Illinois Counseling Pllc NPPES

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

SOUTHERN ILLINOIS COUNSELING PLLC (NPI 1356214084) is a healthcare organization registered as a professional in Carbondale, Illinois and active in the NPI registry since September 2025. The organization lists Adam Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356214084
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTHERN ILLINOIS COUNSELING PLLC
Location Address608 S FOREST AVECarbondale, IL 62901-2525
Mailing Address608 S Forest AveCarbondale, IL 62901-2525 · (618) 924-5633
Phone(618) 924-5633
Organization SubpartNo
Authorized OfficialAdam JacksonOwner · (618) 924-5633
Enumeration DateSeptember 29, 2025
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1356214084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
608 S FOREST AVE, Carbondale, IL 62901
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

ADAM J JACKSON
Counselor (Mental Health)
608 S FOREST AVE
CARBONDALE, IL 62901
Jackson County (618) 434-1328

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 Southern Illinois Counseling PLLC's NPI number?

The NPI number for Southern Illinois Counseling PLLC is 1356214084. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Southern Illinois Counseling PLLC located?

Southern Illinois Counseling PLLC is located at 608 S Forest Ave, Carbondale, IL 62901. The listed phone number is (618) 924-5633.

What is Southern Illinois Counseling PLLC'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 Southern Illinois Counseling PLLC was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.