Malinda Jackson, LCPC, CRC
NPI 1841875465ActiveIndividual· Counselor, Professional· Deerfield, IL
Counselor, Professional (LCPC, CRC) in Deerfield, Illinois, licensed in IL, with an NPI issued in March 2021. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1841875465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC, CRC |
| Sole proprietor | Yes |
| NPI issued | Mar 15, 2021 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 178008315 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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