Ms Jennifer Lee Jackson, MA, LCPC - Counselor in Evanston, IL

Ms Jennifer Lee Jackson, MA, LCPC is a Counselor - Mental Health based in Evanston, Illinois. Ms Jennifer Lee Jackson is licensed to practice in Illinois (license number 180014068) and her current practice location is 636 Church St Ste 415, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at (773) 234-0194.

NPI number for Ms Jennifer Lee Jackson is 1134698723 and her current mailing address is 15217 Lotus Dr, Cleveland, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134698723.

Contact Information

Ms Jennifer Lee Jackson, MA, LCPC
636 Church St Ste 415,
Evanston, IL 60201-4580
(773) 234-0194
(773) 676-0111

Map and Direction


Healthcare Provider's Profile

Full NameMs Jennifer Lee Jackson
GenderFemale
SpecialityCounselor - Mental Health
Location636 Church St Ste 415, Evanston, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134698723
  • Provider Enumeration Date: 11/13/2018
  • Last Update Date: 12/14/2021

Medical Identifiers

Medical identifiers for Ms Jennifer Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134698723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 180014068 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Lee Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jennifer Lee Jackson, MA, LCPC
15217 Lotus Dr,
Cleveland, OH 44128-1915

Ph: (216) 956-3767
Ms Jennifer Lee Jackson, MA, LCPC
636 Church St Ste 415,
Evanston, IL 60201-4580

Ph: (773) 234-0194

Reviews and Comments


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