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SHANEL JACKSON
NPI 1679047450
Counselor - Professional in Chicago, IL

Active since January 15, 2019
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604(646) 941-7645 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2025, Jan 15, 2019 (2 updates tracked since 2019).

About Shanel Jackson NPPES

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

SHANEL JACKSON (NPI 1679047450) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180016978) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1679047450
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANEL JACKSON
Location Address111 W JACKSON BLVD STE 1700Chicago, IL 60604-3597
Mailing Address7335 Holly Ct Apt 2River Forest, IL 60305-1969 · (510) 393-3223
Phone(646) 941-7645
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1679047450 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 · 180016978
111 W JACKSON BLVD STE 1700, Chicago, IL 60604
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Other Providers at the Same Location NPPES 20

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

JOSIE COURT FNP-C
Nurse Practitioner (Family)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (888) 731-8994
MICHAEL LOPEZ
Nutritionist
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (312) 734-1001
NORTHWORK COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (618) 582-3021
INEZ WHITE
Nurse Practitioner
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (877) 279-5960
JHONATAN MARTE
Psychiatry & Neurology (Psychiatry)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (630) 473-8352
TRINITY WALLS NP
Nurse Practitioner
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (888) 731-8994
MARY MARLENE HOLMSTROM MSN, APRN, WHNP-BC
Nurse Practitioner (Women's Health)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (888) 731-8994
JENNIFER C WICKLATZ APRN
Nurse Practitioner
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Cook County (888) 731-8994

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 Shanel Jackson's NPI number?

The NPI number for Shanel Jackson is 1679047450. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Shanel Jackson located?

Shanel Jackson practices at 111 W Jackson Blvd Ste 1700, Chicago, IL 60604. The listed phone number is (646) 941-7645.

What is Shanel 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 Shanel Jackson was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.