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

Kellyn Jackson, LPC, R-DMT

Individual provider Dance Therapist · NPI 1073138194

Kellyn Jackson, LPC, R-DMT is a Dance Therapist in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2835 N Sheffield Ave Ste 304
Chicago, IL 60657-5084
Phone: (630) 866-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2310 W Roosevelt Rd, Chicago, IL 60608-1131 — (312) 439-1552

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178016509 (IL)
Dance Therapist Taxonomy 225600000X · Licence R-DMT-2538 (IL)

Record details

NPI number1073138194
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , R-DMT
Sole proprietorYes
NPI enumeratedJune 15, 2020
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address7400 N Sheridan Rd Apt 3a, Chicago, IL 60626-2059

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