Brittany A Jackson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010945 Issued in IL

Practice address

1010 E 79TH St
Chicago, IL 60619-4442

Phone

(312) 613-8792

NPI assigned

Jun 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649683988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 W 103RD TER APT 203",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651362",
            "telephone_number": "312-613-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606194442",
            "telephone_number": "312-613-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3062 E 91st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606174401",
            "country_code": "US",
            "telephone_number": "773-371-2900 x2974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 N WABASH AVE",
            "address_2": "SUITE 4210",
            "address_purpose": "LOCATION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113523",
            "country_code": "US",
            "telephone_number": "312-613-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur L Jackson
• Bianca S Jackson
• Bianca Tangela Jackson
• Brandi Jackson, M.D.
• Brandon Thomas Jackson, MD, MS
• Bryanna Jackson
• Cassondra Jackson
• Charles Jackson Jr.
• Chloe Rose Jackson, LSW
• Christina Jackson, PHD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.