JORDYNE JACKSON
NPI 1780414516
Counselor - Professional in Matteson, IL

Q: What is Jordyne Jackson's NPI number?

The NPI number for Jordyne Jackson is 1780414516. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Jordyne Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jordyne Jackson was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 06, 2024

8215 W LINCOLN HWY, MATTESON, IL 60443(877) 929-6283 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordyne Jackson NPPES

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

JORDYNE JACKSON (NPI 1780414516) is an individual professional provider in Matteson, Illinois, licensed in Illinois (180.016273) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1780414516

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJORDYNE JACKSON

Location Address8215 W LINCOLN HWYMatteson, IL 60443

Mailing Address8544 S Sangamon St Apt 2Chicago, IL 60620-3214 · (773) 322-5577

Phone(877) 929-6283

Sole ProprietorNo

Enumeration DateAugust 6, 2024

NPPES CertifiedJuly 30, 2024

✔ NPI 1780414516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in IL · 180.016273✔ Licensed in IL · 180016273

8215 W LINCOLN HWY, Matteson, IL 60443

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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 Jordyne Jackson's NPI number?

The NPI number for Jordyne Jackson is 1780414516. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Jordyne Jackson located?

Jordyne Jackson practices at 8215 W Lincoln Hwy, Matteson, IL 60443. The listed phone number is (877) 929-6283.

What is Jordyne 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 Jordyne Jackson was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.