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Ida Jackson, LCPC,
NPI 1659682037 · Mental Health Counselor · Chicago, IL
Ida Jackson, LCPC, is a Mental Health Counselor provider in Chicago, IL (NPI 1659682037).
Provider details
- NPI number
- 1659682037
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC,
- Sex
- Female
- Sole proprietor
- No
- License
- 180-000225 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4314 S Cottage Grove Ave
Suite 208
Chicago, IL 60653-3514
Phone: (312) 747-0036
Fax: (312) 747-2208
Street-level locationGet directions
Mailing address
4314 S Cottage Grove Ave
Chicago, IL 60653-3514
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2010-06-30
Frequently asked questions
- What is Ida Jackson's NPI number?
- Ida Jackson's National Provider Identifier (NPI) is 1659682037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ida Jackson's specialty?
- Ida Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ida Jackson located?
- Ida Jackson's practice location on file with NPPES is 4314 S Cottage Grove Ave, Chicago, IL 60653-3514.
- What is Ida Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ida Jackson is (312) 747-0036.
- Is Ida Jackson's NPI active?
- Yes — Ida Jackson's NPI (1659682037) is active in the NPPES registry as of the last update on 2010-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.