Raushanah Jackson, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT47896 Issued in CA

Practice address

444 N Michigan Ave Ste 1200
Chicago, IL 60611-3959

Phone

(312) 985-6195

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soulful RT

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1598505273
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1154529964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-985-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-985-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RAUSHANAH",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT47896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Larkin Jackson III, M.D.
• Priscilla Lorraine Jackson, MHS, CADC
• Rachel Moore Jackson, APN
• Ralph Jackson, D.O.
• Rashena Jackson, FNP
• Reynaldo Jackson, DMD
• Samuel Wesley Jackson, MD
• Sarah A Jackson, M.S., C.G.C
• Shana Oniella Jackson, LCSW
• Shanel Jackson

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.