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NPI · 1104178649 · NPPES-sourced

Mr. Kurt Jackson

ActiveProfessional Counselor
NPI Number
1104178649
Type 1 · Individual
Taxonomy Code
101YP2500X
Contact
(773) 723-9291
License IL · 180015933
Last Updated
About 20 months ago (Oct 2024)
Enumerated 2012-10-08
Primary practice addressIL · 60620-3011
8044 S Racine AveChicago, IL 60620-3011
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About this NPIWhat this record shows.

NPI 1104178649 is registered to Mr. Kurt Jackson, a Professional Counselor practising at 8044 S Racine Ave in Chicago, Illinois. Professional Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Kurt Jackson has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2012-10-08
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Kurt Jackson accepts. To confirm in-network status with your specific health plan, contact Mr. Kurt Jackson directly at (773) 723-9291.

Frequently asked

Yes. NPI 1104178649 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Professional Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (773) 723-9291.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Kurt Jackson is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101YP2500X
Last updated2024-10
Enumerated2012-10-08
StatusActive
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