What is Warren Jackson's NPI number?

Warren Jackson's National Provider Identifier (NPI) is 1811088057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Warren Jackson's specialty?

Warren Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Warren Jackson located?

Warren Jackson's practice location on file with NPPES is 408 E Vine St, Vienna, IL 62995-1612.

What is Warren Jackson's phone number?

The practice phone number listed in the NPPES registry for Warren Jackson is (618) 658-2611.

Is Warren Jackson's NPI active?

Yes — Warren Jackson's NPI (1811088057) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Warren Jackson, QMRP, MHP

NPI 1811088057 · Mental Health Counselor · Vienna, IL

Warren Jackson, QMRP, MHP is a Mental Health Counselor provider in Vienna, IL (NPI 1811088057).

Provider details

NPI number: 1811088057
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: QMRP, MHP
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
83% 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

408 E Vine St

Vienna, IL 62995-1612

Phone: (618) 658-2611

Fax: (618) 658-2501

Street-level locationGet directions

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Mailing address