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Active NPI 1679964654 Individual Practitioner Male Practitioner

Skye Daniel Jackson , MA, LPC

Counselor - Professional • Normal, IL

Professional Overview & Biography Verified Profile Summary

Skye Jackson, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Normal, IL. Practice services are available at 706 OGLESBY AVE STE 112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

706 Oglesby Ave Ste 112

Normal, IL 617614618

Telephone 3095850241
Associated Practice Facility / Clinic
🏢 Ashley R. Dagner, Lcpc, Pllc Facility NPI 1356146799

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Normal, IL (9683 Statewide)

Telehealth Adoption Rate
4.9% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178010761

Definition to come...

Practice Associates & Co-Workers

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

13 Associated Practitioners
Carrie Bussmann , LCPC

Counselor - Professional

NPI 1003107145

Licensed Clinical Professional Counselor

Adam Hayes

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144192089
Jay Cummins , LCPC

Counselor - Professional

NPI 1225439342

Licensed Clinical Professional Counselor

Barton Shaw , LPC

Counselor - Professional

NPI 1225834211

Licensed Professional Counselor

Amy Hall , LPC

Counselor - Professional

NPI 1265833164

Licensed Professional Counselor

Martha Householter

Counselor - Professional

NPI 1346610292

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2015

Registered at 706 OGLESBY AVE STE 112, NORMAL, IL 617614618 (Tel: 3095850241)

📍
Updated Business Mailing Address February 11, 2015

Registered at 706 OGLESBY AVE STE 112, NORMAL, IL 617614618 (Tel: 3095850241)

👤
Provider Name / Credentials Updated February 11, 2015

Recorded as SKYE JACKSON, M.A., LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Counselor (License #178010761 in IL)

🟢
Initial NPI Registration & Enumeration February 11, 2015

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: 1679964654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2015
Last Update: February 11, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

706 Oglesby Ave Ste 112

Normal, IL 617614618

Phone: 3095850241

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.