Iva Jackson , LPC
Counselor - Professional • Chicago, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Iva Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Iva Jackson, LPC was a registered Counselor - Professional practicing in Chicago, IL. Throughout an active medical career spanning 7 years, Iva Jackson provided care at the practice location at 2310 W ROOSEVELT RD until profile deactivation on 2023-11-22.
Practice Location & Contact Primary Location
2310 W Roosevelt Rd
Chicago, IL 606081131
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Chicago, IL
Practicing in Chicago, IL (9683 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Certified Alcohol and Drug Counselor, MISA1, CAMS11
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 22, 2023
NPI status registered as active in NPPES database
Registered at 2310 W ROOSEVELT RD, CHICAGO, IL 606081131 (Tel: 3126557245)
Registered at 2310 W ROOSEVELT RD, CHICAGO, IL 606081131 (Tel: 3126557245)
Recorded as IVA JACKSON, LPC
Counselor (License #72455 in IL)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
2310 W Roosevelt Rd
Chicago, IL 606081131
Phone: 3126557245
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