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KIYANA JACKSON LCPC
NPI 1528414976
Counselor - Professional in Bolingbrook, IL

Active since May 04, 2016
1175 LILY CACHE LN, BOLINGBROOK, IL 60490(815) 290-9048 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kiyana Jackson Lcpc NPPES

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

KIYANA JACKSON LCPC (NPI 1528414976) is an individual professional provider in Bolingbrook, Illinois, licensed in Illinois (180.009857) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1528414976
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIYANA JACKSONCredential: LCPC
Location Address1175 LILY CACHE LNBolingbrook, IL 60490-3122
Mailing Address1651 Rose LnRomeoville, IL 60446-4892 · (708) 997-1301
Phone(815) 290-9048
Sole ProprietorYes
Enumeration DateMay 4, 2016
✔ NPI 1528414976 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 · 180.009857
1175 LILY CACHE LN, Bolingbrook, IL 60490
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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.

WELLNESS MADE WHOLE INC
Counselor (Professional)
1175 LILY CACHE LN
BOLINGBROOK, IL 60490
Will County (815) 290-9048

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 Kiyana Jackson's NPI number?

The NPI number for Kiyana Jackson is 1528414976. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Kiyana Jackson located?

Kiyana Jackson practices at 1175 Lily Cache Ln, Bolingbrook, IL 60490. The listed phone number is (815) 290-9048.

What is Kiyana Jackson'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 Kiyana Jackson was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.