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MS. TIFARAH JACKSON LPC
NPI 1730709452
Counselor - Professional in Sycamore, IL

Active since April 22, 2020
1815 MEDITERRANEAN DR, SYCAMORE, IL 60178(630) 297-3617 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tifarah Jackson Lpc NPPES

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

MS. TIFARAH JACKSON LPC (NPI 1730709452) is an individual professional provider in Sycamore, Illinois, licensed in Illinois (178.015091) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1730709452
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TIFARAH JACKSONCredential: LPC
Location Address1815 MEDITERRANEAN DRSycamore, IL 60178-3144
Mailing Address2224 Eves Cir WDekalb, IL 60115-5813 · (773) 517-7463
Phone(630) 297-3617
Sole ProprietorNo
Enumeration DateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1730709452 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 · 178.015091
1815 MEDITERRANEAN DR, Sycamore, IL 60178
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Other Providers at the Same Location NPPES 9

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

BRIDGET IRIOOGBE LCPC
Counselor (Professional)
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
OMOBOLANLE GLORIA WUNUKEN
Counselor (Mental Health)
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
CHIMDIYA CONCILIA OSISIOMA APRN
Nurse Practitioner (Psychiatric/Mental Health)
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
DORIS M BRENNER CADC
Counselor (Addiction (Substance Use Disorder))
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
MRS. SAMANTHA DAWN HASS LSW
Social Worker
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
ALEXANDRA BAXTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
BRADEN COUNSELING CENTER, P.C.
Nurse Practitioner (Psychiatric/Mental Health)
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000
JAYNE A. BRADEN PSYD
Psychologist
1815 MEDITERRANEAN DR
SYCAMORE, IL 60178
Dekalb County (815) 787-9000

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 Tifarah Jackson's NPI number?

The NPI number for Tifarah Jackson is 1730709452. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Tifarah Jackson located?

Tifarah Jackson practices at 1815 Mediterranean Dr, Sycamore, IL 60178. The listed phone number is (630) 297-3617.

What is Tifarah 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 Tifarah Jackson was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.