Kellyn Jackson , LPC, R-DMT
Counselor - Professional β’ Chicago, IL
2835 N Sheffield Ave Ste 304
Chicago, IL 606575084
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2835 N Sheffield Ave Ste 304
Chicago, IL 606575084
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Chicago, IL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Chicago and Illinois
2,501 active clinicians are listed under Counselor - Professional with a practice address in Chicago, IL (9,736 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
1.7% of these 2,501 clinicians have the CMS telehealth indicator.
5.4% of these 2,501 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-10-04NUCC Taxonomy Code: 101YP2500X
NUCC Taxonomy Code: 225600000X
The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR).
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
2310 W Roosevelt Rd
Chicago, IL 606081131
Phone: 3124391552
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Additional practice office at 2310 W Roosevelt Rd, Chicago, IL 606081131
Registered at 2835 N SHEFFIELD AVE STE 304, CHICAGO, IL 606575084 (Tel: 6308665666)
Registered at 7400 N SHERIDAN RD APT 3A, CHICAGO, IL 606262059 (Tel: 8476245298)
Recorded as KELLYN JACKSON, LPC, R-DMT
NPI status registered as active in NPPES database
Registered at 2310 W ROOSEVELT RD, CHICAGO, IL 606081131 (Tel: 3124391552)
Registered at 2143 W BELMONT AVE APT 3R, CHICAGO, IL 606186480 (Tel: 8476245298)
Recorded as KELLYN JACKSON, MA, R-DMT
Dance Therapist (license number reported to NPPES: IL R-DMT-2538)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Counselor - Professionals in Chicago
- Krisha Arnold-Robichaux, LPC, LCPC, LCMHC
- Malekapukharajbanu Qureshi, LCPC
- Valentina Gasparro, MA LCPC
- Amy Dahill, LCPC
- Donald Glenn, LPC
- Dr. Frank Lane, PhD
Mailing Address
7400 N Sheridan Rd Apt 3a
Chicago, IL 606262059
Phone: 8476245298