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ADAM J JACKSON
NPI 1497346696
Counselor - Mental Health in Carbondale, IL

Active since January 30, 2021
608 S FOREST AVE, CARBONDALE, IL 62901(618) 434-1328(618) 893-5640 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2026, Jan 30, 2021 (2 updates tracked since 2021).

About Adam J Jackson NPPES

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

ADAM J JACKSON (NPI 1497346696) is an individual mental health provider in Carbondale, Illinois and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1497346696
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameADAM J JACKSON
Location Address608 S FOREST AVECarbondale, IL 62901-2525
Mailing Address608 S Forest AveCarbondale, IL 62901-2525 · (618) 924-5633
Phone(618) 434-1328
Fax(618) 893-5640
Sole ProprietorNo
Enumeration DateJanuary 30, 2021
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1497346696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
608 S FOREST AVE, Carbondale, IL 62901
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Other Providers at the Same Location NPPES

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

SOUTHERN ILLINOIS COUNSELING PLLC
Counselor (Professional)
608 S FOREST AVE
CARBONDALE, IL 62901
Jackson County (618) 924-5633

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 Adam Jackson's NPI number?

The NPI number for Adam Jackson is 1497346696. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Where is Adam Jackson located?

Adam Jackson practices at 608 S Forest Ave, Carbondale, IL 62901. The listed phone number is (618) 434-1328.

What is Adam 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 Adam Jackson was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.