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STEPHEN JACKSON
NPI 1891563888
Counselor - Mental Health in Oswego, IL

Active since December 19, 2023
155 CONCORD DR S, OSWEGO, IL 60543(708) 964-9735 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Stephen Jackson NPPES

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

STEPHEN JACKSON (NPI 1891563888) is an individual mental health provider in Oswego, Illinois, licensed in Illinois (178.018297) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1891563888
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHEN JACKSON
Location Address155 CONCORD DR SOswego, IL 60543-6026
Mailing Address155 Concord Dr SOswego, IL 60543-6026 · (708) 964-9735
Phone(708) 964-9735
Sole ProprietorNo
Enumeration DateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1891563888 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 in IL · 178.018297
155 CONCORD DR S, Oswego, IL 60543
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Other Providers at the Same Location NPPES 2

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

CORH COUNSELING, PC
Counselor (Professional)
155 CONCORD DR S
OSWEGO, IL 60543
Kendall County (773) 289-8755
CELESTE ASHLEY JACKSON PHD
Counselor
155 CONCORD DR S
OSWEGO, IL 60543
Kendall County (773) 289-8755

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 Stephen Jackson's NPI number?

The NPI number for Stephen Jackson is 1891563888. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Stephen Jackson located?

Stephen Jackson practices at 155 Concord Dr S, Oswego, IL 60543. The listed phone number is (708) 964-9735.

What is Stephen 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 Stephen Jackson was last updated on December 19, 2023. 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.