Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306426564 Individual Practitioner Female Practitioner

Jessica Jackson , LPC

Counselor - Professional • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Jessica Jackson, LPC is a registered healthcare professional specializing in Counselor - Professional in Bloomington, IL. Practice services are available at 906 E CHESTNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

906 E Chestnut St

Bloomington, IL 617013308

Telephone 3094453696

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
107 Specialists

Practicing in Bloomington, IL (9683 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.014961

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 178.011232

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 14, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 14, 2021

Registered at 906 E CHESTNUT ST, BLOOMINGTON, IL 617013308 (Tel: 3097506496)

📍
Updated Business Mailing Address April 14, 2021

Registered at 906 E CHESTNUT ST, BLOOMINGTON, IL 617013308 (Tel: 3097506496)

👤
Provider Name / Credentials Updated April 14, 2021

Recorded as JESSICA JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2021

Counselor (License #178.011232 in IL)

🟢
Initial NPI Registration & Enumeration April 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306426564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2021
Last Update: January 03, 2023
Sole Proprietor: Yes

Mailing Address

906 E Chestnut St

Bloomington, IL 617013308

Phone: 3097506496

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.