MR. WARREN T II JACKSON (QMRP, MHP) – Mental Health Counselor, NPI 1811088057

MR. WARREN T II JACKSON (QMRP, MHP) is a healthcare provider. based in Vienna, Illinois. specializing in Mental Health Counselor. They hold the professional credentials QMRP, MHP. The NPI Number for MR. WARREN T II JACKSON (QMRP, MHP) is 1811088057

Main info

Male
Name
MR. WARREN T II JACKSON (QMRP, MHP)
NPI
1811088057
Phone
(618) 658-2611
Address
408 E VINE ST
Enumeration Date
27 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MR. WARREN T II JACKSON (QMRP, MHP)

  • 408, East Vine Street, Vienna, Johnson County, Illinois, 62995, United States

    VIENNA, IL 629951612

    Phone: (618) 658-2611

    Fax: (618) 658-2501

    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)

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Medicare Enrollment & Revalidation

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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)

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

Insurance plans in this area (ZIP 62995)

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Reviews

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Frequently asked questions

What number should I use to identify MR. WARREN T II JACKSON (QMRP, MHP) for billing?
Administrative and clinical systems typically use NPI 1811088057 for MR. WARREN T II JACKSON (QMRP, MHP).
Does the public listing show MR. WARREN T II JACKSON (QMRP, MHP) as active?
MR. WARREN T II JACKSON (QMRP, MHP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. WARREN T II JACKSON (QMRP, MHP)?
NPPES ties MR. WARREN T II JACKSON (QMRP, MHP) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. WARREN T II JACKSON (QMRP, MHP) tied to Vienna, Illinois?
If you are local to Vienna, Illinois, MR. WARREN T II JACKSON (QMRP, MHP) may be relevant to your search.
Why is information missing for MR. WARREN T II JACKSON (QMRP, MHP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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