Robert Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023004

Practice address

164 E Chicago St Ste 200
Elgin, IL 60120-5810

Phone

(847) 243-6458

NPI assigned

May 20, 2019

Sex

Male

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

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rally Point Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elgin, IL
  • NPI 1568046423
  Medicare reassignment NPD Authorized official
• Rally Point Ministry, LLC

  • Mental Health Counselor
  • Elgin, IL
  • NPI 1710568159
  NPD Authorized official

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1447817028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 DOUGLAS AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203672",
            "telephone_number": "847-346-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E CHICAGO ST STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205810",
            "telephone_number": "847-243-6458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601773362",
            "country_code": "US",
            "telephone_number": "847-243-6458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "149.023004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Yvonne Ivy
• Srinivasan Krishna Iyer, BA
• Christina Jackson, ACNS
• Douglas Jackson, M.D.
• Elizabeth Anne Jackson, LSW
• Shaletha Jackson
• Velma Jackson
• Jacob-Charly Medical.PLLC
• Eunice Sajan Jacob-Charly, DO
• Diana Jazmin Jacobo Arroyo

• Clinical Social Worker in Elgin, IL
• Providers in Elgin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.