MR. SKYE DANIEL JACKSON M.A., LPC
NPI 1679964654
Counselor - Professional in Normal, IL

Active since February 11, 2015
706 OGLESBY AVE STE 112, NORMAL, IL 61761(309) 585-0241 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Skye Daniel Jackson M.a., Lpc NPPES

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

MR. SKYE DANIEL JACKSON M.A., LPC (NPI 1679964654) is an individual professional provider in Normal, Illinois, licensed in Illinois (178010761) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1679964654
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SKYE DANIEL JACKSONCredential: M.A., LPC
Location Address706 OGLESBY AVE STE 112Normal, IL 61761-4618
Mailing Address706 Oglesby Ave Ste 112Normal, IL 61761-4618 · (309) 585-0241
Sole ProprietorYes
Enumeration DateFebruary 11, 2015
NPI 1679964654 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 · 178010761
706 OGLESBY AVE STE 112, Normal, IL 61761

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
706 OGLESBY AVE STE 112
NORMAL, IL 61761
Clinic/Center (Mental Health (Including Community Mental Health Center))
706 OGLESBY AVE STE 112
NORMAL, IL 61761
Counselor (Mental Health)
706 OGLESBY AVE STE 112
NORMAL, IL 61761

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 Skye Jackson's NPI number?

The NPI number for Skye Jackson is 1679964654. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Skye Jackson located?

Skye Jackson practices at 706 Oglesby Ave Ste 112, Normal, IL 61761. The listed phone number is (309) 585-0241.

What is Skye 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 Skye Jackson was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.