CELESTE ASHLEY JACKSON PHD NPI 1619400942

NPI Information

  • NPI: 1619400942
  • Provider Name: CELESTE ASHLEY JACKSON, PHD
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 155 CONCORD DR S
    OSWEGO, IL
    ZIP 60543
  • Phone: (773) 289-8755

Map and Directions

Get Directions

NPI Details

Celeste Ashley Jackson, PHD is a counselor in Oswego, IL. The provider is 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. Celeste Ashley Jackson, PHD NPI is 1619400942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

155 CONCORD DR S
OSWEGO, IL
ZIP 60543-026
Phone: (773) 289-8755

The enumeration date for this NPI number is 4/4/2017 and was last updated on 9/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health178012452ILLINOISNo
2101Y00000XCounselor180.015650ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.