LAUREN MICHELLE JACKSON LCPC
NPI 1598320749
Counselor - Professional in Chicago, IL

Active since May 02, 2019
1136 S DELANO CT W APT 707, CHICAGO, IL 60605(847) 440-4330 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, Aug 19, 2022, May 2, 2019 (3 updates tracked since 2019).

About Lauren Michelle Jackson Lcpc NPPES

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

LAUREN MICHELLE JACKSON LCPC (NPI 1598320749) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180014672) and active in the NPI registry since May 2019. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1598320749
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAUREN MICHELLE JACKSONCredential: LCPC
Location Address1136 S DELANO CT W APT 707Chicago, IL 60605-3738
Mailing Address308 E 25th PlChicago, IL 60616-5500 · (847) 440-4330
Sole ProprietorNo
Enumeration DateMay 2, 2019
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1598320749 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 · 180014672
1136 S DELANO CT W APT 707, Chicago, IL 60605

Secondary Practice Location 1

Location 1111 N Wabash AveChicago, IL 60602-1903 · Phone (312) 229-5718

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598320749, enumerated as an "individual" on May 02, 2019.

The provider is located at 1136 S DELANO CT W APT 707 CHICAGO, IL 60605 and the phone number is (847) 440-4330.

Counselor with taxonomy code 101YP2500X and a focus in Professional.