OrganizationActive
Jackson Therapy
NPI 1164080693 · Clinical Social Worker · Urbana, IL
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
Established profile(66/100 index)
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
404 W Green St
Urbana, IL 61801-3267
Phone: (217) 706-5498
Fax: (217) 706-5779
Street-level locationGet directions
Mailing address
230 W Main St
Decatur, IL 62523-1215
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2023-03-30
- Certified
- 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.