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COUREN JACKSON
NPI 1831943463
Counselor - Mental Health in Matteson, IL

Active since April 11, 2024
600 HOLIDAY PLAZA DR STE 170, MATTESON, IL 60443(708) 238-6305 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Couren Jackson NPPES

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

COUREN JACKSON (NPI 1831943463) is an individual mental health provider in Matteson, Illinois, licensed in (O) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1831943463
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCOUREN JACKSON
Location Address600 HOLIDAY PLAZA DR STE 170Matteson, IL 60443-2236
Mailing Address600 Holiday Plaza Dr Ste 170Matteson, IL 60443-2236 · (708) 238-6305
Phone(708) 238-6305
Sole ProprietorNo
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1831943463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · O
600 HOLIDAY PLAZA DR STE 170, Matteson, IL 60443
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Other Providers at the Same Location NPPES 4

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

BUDGET ENERGY MARKETING LLC
Public Health or Welfare
600 HOLIDAY PLAZA DR STE 170
MATTESON, IL 60443
Cook County (708) 679-1106
BUDGET ENERGY MARKETING LLC
Case Management
600 HOLIDAY PLAZA DR STE 170
MATTESON, IL 60443
Cook County (773) 647-0594
MRS. DOMINIQUE CLAIBORNE
Specialist
600 HOLIDAY PLAZA DR STE 170
MATTESON, IL 60443
Cook County (708) 248-6305
AMARI SCOTT
Counselor (Mental Health)
600 HOLIDAY PLAZA DR STE 170
MATTESON, IL 60443
Cook County (708) 248-6305

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 Couren Jackson's NPI number?

The NPI number for Couren Jackson is 1831943463. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Couren Jackson located?

Couren Jackson practices at 600 Holiday Plaza Dr Ste 170, Matteson, IL 60443. The listed phone number is (708) 238-6305.

What is Couren Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Couren Jackson was last updated on April 11, 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.