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

Mr. Christopher D. Jackson, LPC

Individual provider Mental Health Counselor · NPI 1538674312

Mr. Christopher D. Jackson, LPC is a Mental Health Counselor in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in New York and Wisconsin.

Licensed in
NY, WI
In the registry since
2017
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

9021 17th Ave
Kenosha, WI 53143-6806
Phone: (262) 220-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6786-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 008376 (NY)

Record details

NPI number1538674312
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 3, 2017
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address9021 17th Ave, Kenosha, WI 53143-6806

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