Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790036846 Individual Practitioner Female Practitioner

Jill Christine Jackson , MA, LCPC

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Jill Jackson, MA, LCPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 215 S GRAND AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

215 S Grand Ave W

Springfield, IL 627043838

Telephone 2177443525
Fax 2177443535
Associated Practice Facility / Clinic
🏢 Gene A Brodland Lcsw, Llc Facility NPI 1528466430

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% 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 180.007488

Definition to come...

Practice Associates & Co-Workers

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

17 Associated Practitioners
Jami Jamieson , LCSW

Social Worker - Clinical

NPI 1003274952

Licensed Clinical Social Worker

Mary Ray , LPC

Counselor - Mental Health

NPI 1033652573

Licensed Professional Counselor

Debra Blumthal , NCC, LCPC

Counselor - Professional

NPI 1063541308

National Certified Counselor, Licensed Clinical Professional Counselor

Donald Henke , LCSW

Social Worker - Clinical

NPI 1083740211

Licensed Clinical Social Worker

Kelly Dial , LCSW

Social Worker - Clinical

NPI 1225120819

Licensed Clinical Social Worker

Brian Burris , LCPC

Counselor - Professional

NPI 1255410130

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2015

Registered at 215 S GRAND AVE W, SPRINGFIELD, IL 627043838 (Tel: 2177443525)

📍
Updated Business Mailing Address May 23, 2015

Registered at 215 S GRAND AVE W, SPRINGFIELD, IL 627043838 (Tel: 2177443525)

👤
Provider Name / Credentials Updated May 23, 2015

Recorded as JILL JACKSON, MA, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2015

Counselor (License #180.007488 in IL)

🟢
Initial NPI Registration & Enumeration September 28, 2012

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: 1790036846
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2012
Last Update: May 23, 2015
Sole Proprietor: Yes

Mailing Address

215 S Grand Ave W

Springfield, IL 627043838

Phone: 2177443525

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.