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Active NPI 1144961806 Individual Practitioner Male Practitioner

Johnathan Jackson , BS

Counselor • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Johnathan Jackson, BS is a registered healthcare professional specializing in Counselor in Carbondale, IL. Practice services are available at 2411 S ILLINOIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2411 S Illinois Ave

Carbondale, IL 629035913

Telephone 8556083560
Associated Practice Facility / Clinic
🏢 Centerstone Of Illinois, Inc Facility NPI 1033516950

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
60 Specialists

Practicing in Carbondale, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% 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: 2022-04-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jodi Bradley , ADN, RN

Registered Nurse

NPI 1003616095

ADN, Registered Nurse

Lisa Koegler , MS, LCPC

Counselor - Mental Health

NPI 1013233659

Master of Science, Licensed Clinical Professional Counselor

Bridgett Holder , MSW, MHP

Counselor - Mental Health

NPI 1023531589

Master of Social Work, Mental Health Practitioner

NPI 1023720091

Master of Science

Brittany Vaughn , LCSW

Social Worker - Clinical

NPI 1033677687

Licensed Clinical Social Worker

NPI 1043067341

Master of Social Work, Licensed Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2022

Registered at 2411 S ILLINOIS AVE, CARBONDALE, IL 629035913 (Tel: 8556083560)

📍
Updated Business Mailing Address April 06, 2022

Registered at 902 W MAIN ST, WEST FRANKFORT, IL 628962210 (Tel: 6189376483)

👤
Provider Name / Credentials Updated April 06, 2022

Recorded as JOHNATHAN JACKSON, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2022

Counselor

🟢
Initial NPI Registration & Enumeration April 06, 2022

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: 1144961806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2022
Last Update: April 06, 2022
Sole Proprietor: No

Mailing Address

902 W Main St

West Frankfort, IL 628962210

Phone: 6189376483

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.