MS. CATHY GAIL JACKSON (LCPC) – Professional Counselor, NPI 1265761324

MS. CATHY GAIL JACKSON (LCPC) is a healthcare provider. based in Homewood, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180006774 (IL). The NPI Number for MS. CATHY GAIL JACKSON (LCPC) is 1265761324

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. CATHY GAIL JACKSON (LCPC)
NPI
1265761324
Phone
(708) 966-6091
Address
1820 RIDGE RD
Enumeration Date
18 December 2009
Last Update Date
21 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089666091
Graduation Year
2005 (21 years ago)
PAC ID
0143671388
Professional Enrollment ID
I20240111003492
Address ID
IL604301748HO1820XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MS. CATHY GAIL JACKSON (LCPC)

  • 1820, Ridge Road, Homewood, Thornton Township, Cook County, Illinois, 60430, United States

    SUIOTE 200

    HOMEWOOD, IL 604301760

    Phone: (708) 966-6091

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240111003492IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60430)

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Reviews

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Frequently asked questions

Does MS. CATHY GAIL JACKSON (LCPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. CATHY GAIL JACKSON (LCPC) uses 1265761324.
Is MS. CATHY GAIL JACKSON (LCPC) listed as active for patients and plans?
The listing shows MS. CATHY GAIL JACKSON (LCPC) as active in the NPI system.
What is MS. CATHY GAIL JACKSON (LCPC)'s specialty?
The listing groups MS. CATHY GAIL JACKSON (LCPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is MS. CATHY GAIL JACKSON (LCPC) based?
MS. CATHY GAIL JACKSON (LCPC) is tied to Homewood, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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