IndividualActive
Ketajia Jackson, LPC
NPI 1114864188 · Mental Health Counselor · Chicago, IL
Ketajia Jackson, LPC is a Mental Health Counselor provider in Chicago, IL (NPI 1114864188).
Provider details
- NPI number
- 1114864188
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178018536 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3605 W Fillmore St
Chicago, IL 60624-4310
Phone: (773) 588-0180
Approximate (ZIP-level) locationGet directions
Mailing address
4213 S Wells St Apt 2
Chicago, IL 60609-2813
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Ketajia Jackson's NPI number?
- Ketajia Jackson's National Provider Identifier (NPI) is 1114864188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketajia Jackson's specialty?
- Ketajia Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ketajia Jackson located?
- Ketajia Jackson's practice location on file with NPPES is 3605 W Fillmore St, Chicago, IL 60624-4310.
- What is Ketajia Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ketajia Jackson is (773) 588-0180.
- Is Ketajia Jackson's NPI active?
- Yes — Ketajia Jackson's NPI (1114864188) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.