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JESSICA JACKSON
NPI 1932974102
Counselor - Professional in Bourbonnais, IL

Active since November 17, 2023PECOS Enrolled
1532 NORTHFIELD MEADOWS BLVD APT 4, BOURBONNAIS, IL 60914(773) 313-5556 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jessica Jackson NPPES

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

JESSICA JACKSON (NPI 1932974102) is an individual professional provider in Bourbonnais, Illinois, licensed in Illinois (178.019460) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932974102
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA JACKSON
Location Address1532 NORTHFIELD MEADOWS BLVD APT 4Bourbonnais, IL 60914-4833
Mailing Address1532 Northfield Meadows Blvd Apt 4Bourbonnais, IL 60914-4833 · (773) 313-5556
Phone(773) 313-5556
Sole ProprietorYes
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1932974102 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 · 178.019460
1532 NORTHFIELD MEADOWS BLVD APT 4, Bourbonnais, IL 60914
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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)

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

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1932974102. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Jessica Jackson located?

Jessica Jackson practices at 1532 Northfield Meadows Blvd Apt 4, Bourbonnais, IL 60914. The listed phone number is (773) 313-5556.

What is Jessica Jackson's specialty?

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

Is Jessica Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Jackson was last updated on November 17, 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.