MRS. JACKIE E SKINNER (BA) – Mental Health Counselor, NPI 1104104983

MRS. JACKIE E SKINNER (BA) is a healthcare provider. based in Broadview, Illinois. specializing in Mental Health Counselor. They hold the professional credentials BA. The NPI Number for MRS. JACKIE E SKINNER (BA) is 1104104983

Main info

Female
Sole Proprietor
Name
MRS. JACKIE E SKINNER (BA)
NPI
1104104983
Phone
(708) 338-3806
Address
1820 S 25TH AVE
Enumeration Date
28 July 2011
Last Update Date
28 July 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for MRS. JACKIE E SKINNER (BA)

  • 1820 S 25TH AVE

    BROADVIEW, IL 601552864

    Phone: (708) 338-3806

    Fax: (708) 410-0744

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 60155)

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Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JACKIE E SKINNER (BA)?
NPI 1104104983 is assigned to MRS. JACKIE E SKINNER (BA) under the national enumeration system.
Is MRS. JACKIE E SKINNER (BA) active in the national directory?
MRS. JACKIE E SKINNER (BA)'s public NPI profile is in an active state.
What does MRS. JACKIE E SKINNER (BA) treat or focus on?
Patients typically see MRS. JACKIE E SKINNER (BA) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for MRS. JACKIE E SKINNER (BA)?
We surface Broadview, Illinois for MRS. JACKIE E SKINNER (BA) based on available NPPES addresses.
Is MRS. JACKIE E SKINNER (BA) a real provider?
This page reflects official NPPES data for NPI 1104104983. Always confirm identity and privileges with the practice and licensing boards.

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