Kellyn Jackson, LPC, R-DMT
NPI 1073138194 · Professional Counselor · Chicago, IL
Kellyn Jackson, LPC, R-DMT is a Professional Counselor provider in Chicago, IL (NPI 1073138194).
Provider details
- NPI number
- 1073138194
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, R-DMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- R-DMT-2538 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2310 W Roosevelt RdChicago, IL 60608-1131Phone: (312) 439-1552
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Frequently asked questions
- What is Kellyn Jackson's NPI number?
- Kellyn Jackson's National Provider Identifier (NPI) is 1073138194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellyn Jackson's specialty?
- Kellyn Jackson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kellyn Jackson located?
- Kellyn Jackson's practice location on file with NPPES is 2835 N Sheffield Ave Ste 304, Chicago, IL 60657-5084.
- What is Kellyn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kellyn Jackson is (630) 866-5666.
- Is Kellyn Jackson's NPI active?
- Yes — Kellyn Jackson's NPI (1073138194) is active in the NPPES registry as of the last update on 2022-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.