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MALINDA JACKSON LCPC, CRC
NPI 1841875465
Counselor - Professional in Deerfield, IL

Active since March 15, 2021PECOS Enrolled
405 LAKE COOK RD STE A203, DEERFIELD, IL 60015(224) 944-9533 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Malinda Jackson Lcpc, Crc NPPES

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

MALINDA JACKSON LCPC, CRC (NPI 1841875465) is an individual professional provider in Deerfield, Illinois, licensed in Illinois (178008315) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841875465
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMALINDA JACKSONCredential: LCPC, CRC
Location Address405 LAKE COOK RD STE A203Deerfield, IL 60015-4918
Mailing Address1970 Westview LnRound Lake Beach, IL 60073-3705 · (224) 944-9533
Phone(224) 944-9533
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 15, 2021
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1841875465 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 · 178008315
405 LAKE COOK RD STE A203, Deerfield, IL 60015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malinda Jackson Lcpc, Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466934278
PECOS Enrollment IDI20260302002541
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

KAROLINA KOZAKIEWICZ LCPC
Counselor (Mental Health)
405 LAKE COOK RD STE A203
DEERFIELD, IL 60015
Lake County (224) 228-8834

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 Malinda Jackson's NPI number?

The NPI number for Malinda Jackson is 1841875465. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Where is Malinda Jackson located?

Malinda Jackson practices at 405 Lake Cook Rd Ste A203, Deerfield, IL 60015. The listed phone number is (224) 944-9533.

What is Malinda Jackson's specialty?

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

Is Malinda Jackson enrolled in Medicare?

Yes. Malinda Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Malinda Jackson was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.