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

MS. Jennifer Lee Jackson, MA, LCPC

Individual provider Mental Health Counselor · NPI 1134698723

MS. Jennifer Lee Jackson, MA, LCPC is a Mental Health Counselor in Evanston, Illinois. Qualified in 2007, 19 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

636 Church St Ste 415
Evanston, IL 60201-4580
Phone: (773) 234-0194
Fax: (773) 676-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4470 W Sunset Blvd Ste 107, Los Angeles, CA 90027-6309 — (323) 205-7088

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180014068 (IL)

Record details

NPI number1134698723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCPC
Sole proprietorYes
NPI enumeratedNovember 13, 2018
Last updated in NPPESDecember 14, 2021
Certification dateNovember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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