MR. CHRISTOPHER D. JACKSON LPC
NPI 1538674312
Counselor - Mental Health in Kenosha, WI

Active since December 03, 2017
9021 17TH AVE, KENOSHA, WI 53143(262) 220-8200 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2022, Feb 8, 2021, Dec 3, 2017 (3 updates tracked since 2017).

About Mr. Christopher D. Jackson Lpc NPPES

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

MR. CHRISTOPHER D. JACKSON LPC (NPI 1538674312) is an individual mental health provider in Kenosha, Wisconsin, licensed in Wisconsin (6786-125) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1538674312
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CHRISTOPHER D. JACKSONCredential: LPC
Location Address9021 17TH AVEKenosha, WI 53143-6806
Mailing Address9021 17th AveKenosha, WI 53143-6806 · (262) 220-8200
Sole ProprietorYes
Enumeration DateDecember 3, 2017
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1538674312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WI · 6786-125 Licensed in NY · 008376
9021 17TH AVE, Kenosha, WI 53143

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
9021 17TH AVE
KENOSHA, WI 53143

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 Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1538674312. It was assigned to this individual provider in the NPPES registry on December 3, 2017.

Where is Christopher Jackson located?

Christopher Jackson practices at 9021 17th Ave, Kenosha, WI 53143. The listed phone number is (262) 220-8200.

What is Christopher Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Christopher Jackson accept?

Health plans from UnitedHealthcare list Christopher Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christopher Jackson was last updated on August 16, 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.