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JACKSON MANCUSO LPC
NPI 1780406512
Counselor - Professional in Lake Forest, IL

Active since October 31, 2024
1 WESTMINSTER PL STE 101, LAKE FOREST, IL 60045(847) 919-9096 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Mancuso Lpc NPPES

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

JACKSON MANCUSO LPC (NPI 1780406512) is an individual professional provider in Lake Forest, Illinois, licensed in Illinois (178.020916) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1780406512
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACKSON MANCUSOCredential: LPC
Location Address1 WESTMINSTER PL STE 101Lake Forest, IL 60045-5511
Mailing Address330 E Sheridan PlLake Bluff, IL 60044-2637
Phone(847) 919-9096
Sole ProprietorNo
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1780406512 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 · 178.020916
1 WESTMINSTER PL STE 101, Lake Forest, IL 60045
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Other Providers at the Same Location NPPES 6

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

TAIT OHARA GOODWIN ALMFT
Marriage & Family Therapist
1 WESTMINSTER PL STE 101
LAKE FOREST, IL 60045
Lake County (847) 919-9096
OLIVIA NICKULIS
Counselor (Mental Health)
1 WESTMINSTER PL STE 101
LAKE FOREST, IL 60045
Lake County (847) 919-9096
MEGAN MARIE STOREY NCC
Counselor (Mental Health)
1 WESTMINSTER PL STE 101
LAKE FOREST, IL 60045
Lake County (847) 919-9096
SHANNON O'REILLY
Counselor (Mental Health)
1 WESTMINSTER PL STE 101
LAKE FOREST, IL 60045
Lake County (847) 919-9096
LYNNE ELIZABETH GOLD
Counselor (Mental Health)
1 WESTMINSTER PL STE 101
LAKE FOREST, IL 60045
Lake County (847) 919-9096
MRS. AMANDA MARIE HIGGINBOTHAM MA, LPC
Counselor (Professional)
1 WESTMINSTER PL STE 101
LAKE FOREST, IL 60045
Lake County (847) 919-9096

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 Jackson Mancuso's NPI number?

The NPI number for Jackson Mancuso is 1780406512. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Jackson Mancuso located?

Jackson Mancuso practices at 1 Westminster Pl Ste 101, Lake Forest, IL 60045. The listed phone number is (847) 919-9096.

What is Jackson Mancuso'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 Jackson Mancuso was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.