Active NPI 1780406512 Individual Practitioner Male Practitioner

Jackson Mancuso , LPC

Counselor - Professional • Lake Forest, IL

Professional Overview & Biography Verified Profile Summary

Jackson Mancuso, LPC is a registered healthcare professional specializing in Counselor - Professional in Lake Forest, IL. Practice services are available at 1 WESTMINSTER PL STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Westminster Pl Ste 101

Lake Forest, IL 600455511

Telephone 8479199096

Associated Practice Facility / Clinic

🏢 Inspire Counseling Center, Llc Facility NPI 1295289726

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lake Forest, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.0 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Lake Forest, IL (9683 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: 2024-10-31

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178.020916

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Conrad Burghardt

Social Worker

NPI 1003506908

Margot Torossian

Counselor - Mental Health

NPI 1003627787

Melanie Umbdenstock

Counselor - Mental Health

NPI 1033032107

Emma Olson

Counselor - Mental Health

NPI 1033051701

Katharine Stapleton , MSW

Social Worker - Clinical

NPI 1063241032

Master of Social Work

Melissa Conroy

Counselor - Mental Health

NPI 1083550131

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 31, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2024

Registered at 1 WESTMINSTER PL STE 101, LAKE FOREST, IL 600455511 (Tel: 8479199096)

📍

Updated Business Mailing Address October 31, 2024

Registered at 330 E SHERIDAN PL, LAKE BLUFF, IL 600442637

👤

Provider Name / Credentials Updated October 31, 2024

Recorded as JACKSON MANCUSO, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2024

Counselor (License #178.020916 in IL)

🟢

Initial NPI Registration & Enumeration October 31, 2024

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: 1780406512

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2024

Last Update: October 31, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

330 E Sheridan Pl

Lake Bluff, IL 600442637

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.