Corby Jackson
NPI 1639530215 · Professional Counselor · Dallas, TX
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corby Jackson is a Professional Counselor provider in Dallas, TX (NPI 1639530215).
Provider details
- NPI number
- 1639530215
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 180.015589 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 2319 Manhattan RdJoliet, IL 60433-8605Phone: (815) 314-0533
- 1225 Richards StJoliet, IL 60433-2745Phone: (708) 768-2144
Registry dates
- Enumerated
- 2016-03-10
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Frequently asked questions
- What is Corby Jackson's NPI number?
- Corby Jackson's National Provider Identifier (NPI) is 1639530215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corby Jackson's specialty?
- Corby Jackson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Corby Jackson located?
- Corby Jackson's practice location on file with NPPES is 11300 N Central Expy Ste 400, Dallas, TX 75243-6712.
- What is Corby Jackson's phone number?
- The practice phone number listed in the NPPES registry for Corby Jackson is (844) 824-8775.
- Does Corby Jackson accept Medicare?
- Corby Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Corby Jackson's NPI active?
- Yes — Corby Jackson's NPI (1639530215) is active in the NPPES registry as of the last update on 2024-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.