JAELYN VICKERY LSW
NPI 1659183309
Counselor in Urbana, IL

Active since January 21, 2025
2704 BOULDER DR, URBANA, IL 61802(217) 607-1678 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaelyn Vickery Lsw NPPES

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

JAELYN VICKERY LSW (NPI 1659183309) is an individual counselor in Urbana, Illinois, licensed in Illinois (150.116036) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1659183309
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJAELYN VICKERYCredential: LSW
Location Address2704 BOULDER DRUrbana, IL 61802-6946
Mailing Address2491 Potters TurnKankakee, IL 60901-7392
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1659183309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IL · 150.116036
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2704 BOULDER DR, Urbana, IL 61802

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 Jaelyn Vickery's NPI number?

The NPI number for Jaelyn Vickery is 1659183309. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Jaelyn Vickery located?

Jaelyn Vickery practices at 2704 Boulder Dr, Urbana, IL 61802. The listed phone number is (217) 607-1678.

What is Jaelyn Vickery's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jaelyn Vickery was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.