Active NPI 1720836877 Individual Practitioner Female Practitioner

Tionna Jackson

Counselor - Professional • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Tionna Jackson is a registered healthcare professional specializing in Counselor - Professional in Peoria, IL. Practice services are available at 4900 N GLEN PARK PLACE RD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4900 N Glen Park Place Rd Ste B

Peoria, IL 616144685

Telephone 2177147042

Associated Practice Facility / Clinic

🏢 Clark Chiropractic Center, Llc Facility NPI 1215090337

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.4 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

153 Specialists

Practicing in Peoria, 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: 2024-05-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

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

32 Associated Practitioners

Madisyn Welsh

Social Worker

NPI 1003621673

Karly Johnson , MSW

Social Worker

NPI 1053101022

Master of Social Work

Salman Safir , MA

Counselor

NPI 1114647443

Master of Arts

Amanda Gold

Counselor - Mental Health

NPI 1134849458

Rachel Jackson Green , MSW, LSW

Social Worker

NPI 1154046233

Master of Social Work, Licensed Social Worker

Taylor Cox

Counselor

NPI 1174243588

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2024

Registered at 4900 N GLEN PARK PLACE RD STE B, PEORIA, IL 616144685 (Tel: 2177147042)

📍

Updated Business Mailing Address May 13, 2024

Registered at 1704 W GILBERT AVE, PEORIA, IL 616042531 (Tel: 3092587224)

👤

Provider Name / Credentials Updated May 13, 2024

Recorded as TIONNA JACKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Counselor

🟢

Initial NPI Registration & Enumeration May 13, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1720836877

Entity Type:

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

Enumeration Date: May 13, 2024

Last Update: May 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1704 W Gilbert Ave

Peoria, IL 616042531

Phone: 3092587224

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.