Individual ProviderJill Christine JacksonCounselorBehavioral Health & Social Service ProvidersPractice Address215 S Grand Ave W, Springfield, IL 62704-3838(217) 744-3525PECOS EnrollmentBased on the most recent information from CMS, provider Jill Christine Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790036846Provider TypeIndividualFull NameJackson, Jill ChristineTitleMs.CredentialMA, LCPCGenderFemaleSole ProprietorYesEnumeration Date9/28/2012Last Updated5/23/2015Contact InformationPractice LocationPractice Address215 S Grand Ave W, Springfield, IL 62704-3838Phone(217) 744-3525Fax(217) 744-3535Mailing LocationMailing Address215 S Grand Ave W, Springfield, IL 62704-3838Phone(217) 744-3525Fax(217) 744-3535Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.007488Illinois