Individual provider Active NPI

Cathy Gail Jackson, LCPC

  • Professional Counselor
  • Homewood, IL
National Provider Identifier
1265761324
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006774 Issued in IL
Practice address
1820 Ridge Rd
Suiote 200
Homewood, IL 60430-1760
Phone
(708) 966-6091
Fax
(708) 585-6222
NPI assigned
Dec 18, 2009
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180006774 IL
Professional Counselor 101YP2500X 180006774 IL Primary

Addresses

Primary practice location

1820 Ridge Rd
Suiote 200
Homewood, IL 60430-1760

Mailing address

1820 Ridge Rd
Suiote 200
Homewood, IL 60430-1760
Phone (708) 966-6091

Other identifiers 1

IdentifierTypeStateIssuer
474549320MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111003492 IL Practitioner - Mental Health Counselor 0143671388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1820 Ridge Rd
Suite 200
Homewood, IL 60430-1748
Phone (708) 966-6091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180006774ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cathy Jackson Sharper Clarity, P.C. CurrentSince Nov 13, 2023 Accepting new patients

Locations

1820 Ridge Rd
Ste 200
Homewood, IL 60430
Phone (708) 966-6091

19900 Governors Dr
Ste 300F
Olympia Fields, IL 60461
Phone (708) 966-6091

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1265761324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD",
            "address_2": "SUIOTE 200",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301760",
            "telephone_number": "708-966-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD",
            "address_2": "SUIOTE 200",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301760",
            "telephone_number": "708-966-6091",
            "fax_number": "708-585-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CATHY",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2026-09-29",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180006774",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474549320",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.