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PRISCILLA LORRAINE JACKSON MHS, CADC
NPI 1518610518
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Active since January 31, 2022
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Priscilla Lorraine Jackson Mhs, Cadc NPPES

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

PRISCILLA LORRAINE JACKSON MHS, CADC (NPI 1518610518) is an individual addiction (substance use disorder) provider in Chicago, Illinois and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1518610518
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePRISCILLA LORRAINE JACKSONCredential: MHS, CADC
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address1318 Heather Rd EBourbonnais, IL 60914-5105 · (815) 546-5108
Phone(312) 569-8387
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1518610518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
820 S DAMEN AVE, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

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

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

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 Priscilla Jackson's NPI number?

The NPI number for Priscilla Jackson is 1518610518. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Priscilla Jackson located?

Priscilla Jackson practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Priscilla Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Priscilla Jackson was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.