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MS. MARY ELISABETH JACKSON LCPC
NPI 1437456522
Counselor in Carbondale, IN

Active since February 25, 2011
804 SOUTH OAKLAND AVE, CARBONDALE, IN 62901(618) 203-3975(618) 529-2182 Get Directions Write a Review

NPPES record last updated: February 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Elisabeth Jackson Lcpc NPPES

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

MS. MARY ELISABETH JACKSON LCPC (NPI 1437456522) is an individual counselor in Carbondale, Indiana, licensed in Illinois (180.007729) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1437456522
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. MARY ELISABETH JACKSONCredential: LCPC
Location Address804 SOUTH OAKLAND AVECarbondale, IN 62901
Mailing Address804 S Oakland AveCarbondale, IL 62901-2555 · (618) 203-3975 · Fax (618) 529-2182
Phone(618) 203-3975
Fax(618) 529-2182
Sole ProprietorYes
Enumeration DateFebruary 25, 2011
✔ NPI 1437456522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.007729
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
804 SOUTH OAKLAND AVE, Carbondale, IN 62901
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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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1437456522. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Mary Jackson located?

Mary Jackson practices at 804 South Oakland Ave, Carbondale, IN 62901. The listed phone number is (618) 203-3975.

What is Mary Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on February 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.