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Dr. Celeste Ashley Jackson , PhD

Counselor β€’ Oswego, IL

Active NPI 1619400942 Individual Practitioner Female Practitioner
Practice location in NPPES

155 Concord Dr S
Oswego, IL 605436026

Call 7732898755 Location details and other listings
Medical Disclaimer

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

Practice Address

155 Concord Dr S

Oswego, IL 605436026

Telephone 7732898755
Organization at the Same NPPES Address or Phone
Corh Counseling, Pc Facility NPI 1538937503

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Chicago, IL; Naperville, 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.

NPI first issued

2017

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oswego and Illinois

5 active clinicians are listed under Counselor with a practice address in Oswego, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-09-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 180.015650

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES IL 178012452
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

661 W Lake St Ste 2s

Chicago, IL 606611034

Phone: 7087404422

1754 N Washington St Ste 104a

Naperville, IL 605631462

Phone: 7087404422

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 19, 2023

Recorded as CELESTE JACKSON, PHD

πŸ“
Updated Practice Location October 05, 2021

Registered at 155 CONCORD DR S, OSWEGO, IL 605436026 (Tel: 7732898755)

πŸ“
Updated Business Mailing Address October 05, 2021

Registered at 155 CONCORD DR S, OSWEGO, IL 605436026 (Tel: 7732898755)

πŸ‘€
Provider Name / Credentials Updated October 05, 2021

Recorded as CELESTE JACKSON

βœ…
NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 04, 2017

Registered at 1516 N LOTUS AVE, CHICAGO, IL 606511354 (Tel: 7732898755)

πŸ“
Business Mailing Address (Initial Record) April 04, 2017

Registered at 1516 N LOTUS AVE, CHICAGO, IL 606511354 (Tel: 7732898755)

πŸ‘€
Provider Name / Credentials (Initial Record) April 04, 2017

Recorded as CELESTE LEWIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Counselor (license number reported to NPPES: IL 178012452)

🟒
Initial NPI Registration & Enumeration April 04, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619400942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2017
Last Update: September 21, 2025
Sole Proprietor: Yes

Mailing Address

155 Concord Dr S

Oswego, IL 605436026

Phone: 7732898755

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.