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SHALETHA JACKSON
NPI 1568734093
Counselor - Mental Health in Elgin, IL

Active since January 30, 2012
1845 GRANDSTAND PL, ELGIN, IL 60123(847) 695-0484 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Shaletha Jackson NPPES

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

SHALETHA JACKSON (NPI 1568734093) is an individual mental health provider in Elgin, Illinois and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1568734093
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHALETHA JACKSON
Location Address1845 GRANDSTAND PLElgin, IL 60123-6603
Mailing Address1845 Grandstand PlElgin, IL 60123-6603 · (847) 695-0484
Phone(847) 695-0484
Sole ProprietorNo
Enumeration DateJanuary 30, 2012
✔ NPI 1568734093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1845 GRANDSTAND PL, Elgin, IL 60123
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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.

HALEY ELIZABETH VON HOLST
Community Health Worker
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 931-9314
MRS. GERALDINE ANNE JOHNSON RN
Registered Nurse
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
BRIANNA JOYCE ZIMMERMAN B.S.
Case Manager/Care Coordinator
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
KATRIN SCHLICHT
Counselor (Mental Health)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
MR. MARK ALLEN MILLER MHP
Counselor (Mental Health)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
MARIAH JENNIFER KUICK LCSW
Social Worker (Clinical)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
KIMBERLY KIDDERS
Counselor (Mental Health)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
JESSIKA ROTTO
Case Manager/Care Coordinator
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484

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 Shaletha Jackson's NPI number?

The NPI number for Shaletha Jackson is 1568734093. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Shaletha Jackson located?

Shaletha Jackson practices at 1845 Grandstand Pl, Elgin, IL 60123. The listed phone number is (847) 695-0484.

What is Shaletha 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 Shaletha Jackson was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.