Celeste Ashley Jackson, PHD

Counselor · Oswego, IL

Individual Active NPI

NPI number 1619400942

Practice location

155 Concord Dr S
Oswego, IL 60543-6026
Phone
(773) 289-8755

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NPI record

NPI
1619400942
Entity type
Individual (Type 1)
Enumeration date
April 4, 2017
Last updated
September 21, 2025
Certified
September 21, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 180.015650 IL
Mental Health Counselor 101YM0800X 178012452 IL

Other practice locations (2)

  • 661 W Lake St Ste 2S, Chicago, IL 60661-1034 · (708) 740-4422
  • 1754 N Washington St Ste 104A, Naperville, IL 60563-1462 · (708) 740-4422

About Dr. Jackson

Celeste Ashley Jackson, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 155 Concord Dr S, Oswego, IL 60543-6026. The NPI number 1619400942 was assigned on April 4, 2017 and the record was last updated on September 21, 2025.

Dr. Jackson lists 2 licenses in the registry: #180.015650 (IL) for Counselor; #178012452 (IL) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Celeste Ashley Jackson, PHD?

The NPI number is 1619400942.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (773) 289-8755.

Where is Dr. Jackson located?

155 Concord Dr S, Oswego, IL 60543-6026.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 101Y00000X – Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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