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MINDY JACKSON
NPI 1639911209
Counselor - Mental Health in Tinley Park, IL

Active since June 12, 2024
16086 HARLEM AVE, TINLEY PARK, IL 60477(708) 719-4288 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mindy Jackson NPPES

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

MINDY JACKSON (NPI 1639911209) is an individual mental health provider in Tinley Park, Illinois, licensed in Illinois (178.020011) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1639911209
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMINDY JACKSON
Location Address16086 HARLEM AVETinley Park, IL 60477-1612
Mailing Address7803 W 159th StTinley Park, IL 60477-1343
Phone(708) 719-4288
Sole ProprietorNo
Enumeration DateJune 12, 2024
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1639911209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.020011
16086 HARLEM AVE, Tinley Park, IL 60477
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Other Providers at the Same Location NPPES 6

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

ANNIE GOVEA SPT
Speech-Language Pathologist
16086 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 358-7239
ALIA ALASFAR
Behavior Analyst
16086 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 719-4288
JESSICA ROSE ERIKS
Behavior Analyst
16086 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 505-8177
NINA IRACI CCC-SLP/L
Speech-Language Pathologist
16086 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (815) 469-1500
MS. NICOLETTE PAIGE SUSRALSKI MA
Behavior Analyst
16086 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (815) 469-1500
DR. HELINA SAMSON OTD, OTR/L
Occupational Therapist
16086 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 505-8177

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 Mindy Jackson's NPI number?

The NPI number for Mindy Jackson is 1639911209. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Mindy Jackson located?

Mindy Jackson practices at 16086 Harlem Ave, Tinley Park, IL 60477. The listed phone number is (708) 719-4288.

What is Mindy 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 Mindy Jackson was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.