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MR. GLENN JACKSON LSW, LCPC, CMH
NPI 1568833283
Counselor - Mental Health in Olney, IL

Active since October 08, 2015
504 MICAH DR, DRAWER M, OLNEY, IL 62450(618) 395-4309(618) 395-4507 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Glenn Jackson Lsw, Lcpc, Cmh NPPES

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

MR. GLENN JACKSON LSW, LCPC, CMH (NPI 1568833283) is an individual mental health provider in Olney, Illinois and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1568833283
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GLENN JACKSONCredential: LSW, LCPC, CMH
Location Address504 MICAH DR, DRAWER MOlney, IL 62450-4720
Mailing Address504 Micah Dr, Drawer MOlney, IL 62450-4720 · (618) 395-4309 · Fax (618) 395-4507
Phone(618) 395-4309
Fax(618) 395-4507
Sole ProprietorNo
Enumeration DateOctober 8, 2015
✔ NPI 1568833283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
504 MICAH DR, Olney, IL 62450
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Other Identifiers 1

Other180.000994IL · Licensed Clinical Professional Counselor

Other Providers at the Same Location NPPES 13

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

MISS KYNA VINCENT
Counselor
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4306
RICHLAND FAMILY COUNSELING CTRS INC
Counselor (Addiction (Substance Use Disorder))
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4309
MR. WESLEY GRIESEMER BS
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4309
MRS. ALICE MULRENIN BA
Counselor (Mental Health)
504 MICAH DR
OLNEY, IL 62450
Richland County (619) 395-4306
MS. DESTINY M MILLER BS
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4506
MISS JAMIE L LONG
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4306
MS. RICKIE WOOD BS
Counselor (Mental Health)
504 MICAH DR, DRAWER M
OLNEY, IL 62450
Richland County (618) 395-4306
DR. ALEXANDER WALDHERR DO
Family Medicine (Sports Medicine)
504 MICAH DR
OLNEY, IL 62450
Richland County (618) 388-3128

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 Glenn Jackson's NPI number?

The NPI number for Glenn Jackson is 1568833283. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Glenn Jackson located?

Glenn Jackson practices at 504 Micah Dr Drawer M, Olney, IL 62450. The listed phone number is (618) 395-4309.

What is Glenn 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 Glenn Jackson was last updated on October 8, 2015. 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.