Jackson Therapy
NPI 1164080693 · Clinical Social Worker · Urbana, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Therapy is a Clinical Social Worker organization in Urbana, IL (NPI 1164080693).
Provider details
- NPI number
- 1164080693
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Angela Jackson, Owner/Lead Therapist(217) 840-4090
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Frequently asked questions
- What is Jackson Therapy's NPI number?
- Jackson Therapy's National Provider Identifier (NPI) is 1164080693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Therapy?
- Jackson Therapy is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jackson Therapy located?
- Jackson Therapy's practice location on file with NPPES is 404 W Green St, Urbana, IL 61801-3267.
- What is Jackson Therapy's phone number?
- The practice phone number listed in the NPPES registry for Jackson Therapy is (217) 706-5498.
- Does Jackson Therapy accept Medicare?
- Jackson Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Therapy?
- The authorized official listed on Jackson Therapy's NPPES record is Angela Jackson, Owner/Lead Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Therapy's NPI active?
- Yes — Jackson Therapy's NPI (1164080693) is active in the NPPES registry as of the last update on 2023-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.