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MS. IDA B JACKSON LCPC,
NPI 1659682037
Counselor - Mental Health in Chicago, IL

Active since June 30, 2010
4314 S COTTAGE GROVE AVE, SUITE 208, CHICAGO, IL 60653(312) 747-0036(312) 747-2208 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ida B Jackson Lcpc, NPPES

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

MS. IDA B JACKSON LCPC, (NPI 1659682037) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180-000225) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1659682037
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. IDA B JACKSONCredential: LCPC,
Location Address4314 S COTTAGE GROVE AVE, SUITE 208Chicago, IL 60653-3514
Mailing Address4314 S Cottage Grove Ave, Suite 208Chicago, IL 60653-3514 · (312) 747-0036 · Fax (312) 747-2208
Phone(312) 747-0036
Fax(312) 747-2208
Sole ProprietorNo
Enumeration DateJune 30, 2010
✔ NPI 1659682037 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 · 180-000225
4314 S COTTAGE GROVE AVE, Chicago, IL 60653
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Other Providers at the Same Location NPPES 5

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

LATRELLE LOWE KERNEY LCPC
Counselor (Professional)
4314 S COTTAGE GROVE AVE, SUITE 208
CHICAGO, IL 60653
Cook County (312) 747-0036
LAUREL BETH GOLDMAN
Counselor (Mental Health)
4314 S COTTAGE GROVE AVE
CHICAGO, IL 60653
Cook County (312) 747-0036
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
4314 S COTTAGE GROVE AVE, GREATER GRAND MENTAL HEALTH CENTER
CHICAGO, IL 60653
Cook County (312) 747-0036
MRS. CATHERINE HOUSE CLINCIAL THERAPIST
Counselor (Mental Health)
4314 S COTTAGE GROVE AVE, SUITE 208
CHICAGO, IL 60653
Cook County (312) 747-0036
MS. CHANDRA DOCKERY M.A.
Counselor (Professional)
4314 S COTTAGE GROVE AVE
CHICAGO, IL 60653
Cook County (773) 350-3749

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 Ida Jackson's NPI number?

The NPI number for Ida Jackson is 1659682037. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Ida Jackson located?

Ida Jackson practices at 4314 S Cottage Grove Ave Suite 208, Chicago, IL 60653. The listed phone number is (312) 747-0036.

What is Ida 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 Ida Jackson was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.