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KRISTA ANN JACKSON LPC
NPI 1639003676
Counselor - Professional in Chatham, IL

Active since June 12, 2026
15 KNOLLCREST LN, CHATHAM, IL 62629(217) 801-8835 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krista Ann Jackson Lpc NPPES

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

KRISTA ANN JACKSON LPC (NPI 1639003676) is an individual professional provider in Chatham, Illinois, licensed in Illinois (178.009251) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639003676
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTA ANN JACKSONCredential: LPC
Location Address15 KNOLLCREST LNChatham, IL 62629-1056
Mailing Address15 Knollcrest LnChatham, IL 62629-1056 · (217) 801-8835
Phone(217) 801-8835
Sole ProprietorYes
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1639003676 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 · 178.009251
15 KNOLLCREST LN, Chatham, IL 62629
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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 Krista Jackson's NPI number?

The NPI number for Krista Jackson is 1639003676. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Krista Jackson located?

Krista Jackson practices at 15 Knollcrest Ln, Chatham, IL 62629. The listed phone number is (217) 801-8835.

What is Krista 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 Krista Jackson was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.