Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Mancuso, LPC

Individual provider Professional Counselor · NPI 1780406512

Jackson Mancuso, LPC is a Professional Counselor in Lake Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1 Westminster Pl Ste 101
Lake Forest, IL 60045-5511
Phone: (847) 919-9096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.020916 (IL)

Record details

NPI number1780406512
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 31, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address330 E Sheridan Pl, Lake Bluff, IL 60044-2637

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