AMARI JACKSON
Counselor

Address: 10009 S Van Vlissingen Rd, Chicago, IL 60617-5258

AMARI JACKSON (NPI# 1669829180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669829180
Entity Type Individual
Full Name AMARI JACKSON
Gender Female
Credential LCPC
Practice Address 10009 S Van Vlissingen Rd
Chicago
IL 60617-5258
Practice Telephone 7085271548
Mailing Address 1136 S Delano Ct W Ste B201
Chicago
IL 60605-3734
Mailing Telephone 7086095274
Enumeration Date 2016-05-16
Last Update Date 2019-02-01
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 180011861 IL Behavioral Health & Social Service Providers

Office Location

Street Address 10009 S VAN VLISSINGEN RD
City CHICAGO
State IL
Zip Code 60617-5258

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1083253546 Vanaja Thotten Internal Medicine 8012 S.crandon Ave, Chicago, IL 60617 2020-01-02
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1871060301 Tamika Nicole Whitehead Social Worker - Clinical 2822 East 83rd Street, Chicago, IL 60617 2018-11-02
1831607340 Pamela Evette Ewing Counselor - Professional 9145 S. Merrill Ave, Chicago, IL 60617 2018-01-18
1881140408 Yeferson Laverde Social Worker - Clinical 3062 East 31st, Chicago, IL 60617 2016-09-01
1427527365 Stony Island Dental PC Dentist 1600 E 93rd Street, Chicago, IL 60617 2018-11-21
1447784921 1915-25 95th St., LLC Clinic/Center - Ambulatory Surgical 1915 E 95th St, Chicago, IL 60617 2017-04-12
1083091813 Isabel J Castro Munoz Dentist 3540 E 118th St., Chicago, IL 60617 2015-04-30
1821494741 Children's Therapy Center Day Training, Developmentally Disabled Services 8729 S Commercial, Chicago, IL 60617 2014-11-05
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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Competitor

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City CHICAGO
Zip Code 60617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.