Kurt H. Jackson
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2012
- Practice locations
- 2
- Practice address
- 10204 Bode St Suite C Suite C, Plainfield, IL 60585-9813
- Practice phone
- Call (630) 896-7160
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Blue Moon Senior Counseling Of Illinois - Plainfield
Behavioral health practice · Plainfield, Illinois
Find Kurt Jackson's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kurt H. Jackson is a professional counselor in Chicago, Illinois
Kurt Jackson practices at Blue Moon Senior Counseling Of Illinois - Plainfield in Plainfield, Illinois.
Kurt Jackson's NPI, 1104178649, was assigned on October 8, 2012. Kurt Jackson holds Illinois license 180015933.
- NPI
- 1104178649NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3779925003
- NPI enumeration date
- October 8, 2012
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (630) 896-7160
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 46
- Medical school graduation
- 2006
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Kurt H. Jackson practices in Plainfield and Chicago
Kurt Jackson's primary practice is Blue Moon Senior Counseling of Illinois - Plainfield, at 10204 Bode St Suite C Suite C, Plainfield, IL 60585-9813. The practice phone is (630) 896-7160. The NPI Registry lists Kurt Jackson's practice address as 8044 S Racine Ave, Chicago, IL 60620.
- Blue Moon Senior Counseling of Illinois - PlainfieldPrimary10204 Bode St Suite C Suite C, Plainfield, IL 60585-9813Phone(630) 896-7160
- NPI Registry address8044 S Racine Ave, Chicago, IL 60620
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Kurt H. Jackson is affiliated with 1 site of care and 1 medical group
Kurt Jackson's primary practice is Blue Moon Senior Counseling Of Illinois - Plainfield in Plainfield, Illinois. The medical group on file is Blue Moon Senior Counseling.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Kurt H. Jackson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kurt Jackson practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Blue Moon Senior Counseling Of Illinois - Plainfield | Available with a free account |
Source: Dmand AI Technology Install Data
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Kurt H. Jackson is one of 2,929 professional counselors in Illinois
Professional is Kurt Jackson's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Kurt Jackson is licensed in Illinois.
Specialties and state licenses
- Professional counselor, IllinoisPrimary
Professional counselors near Kurt Jackson
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kurt H. Jackson's patients have a median age of 75
Across all payers, Dmand AI patient panel data puts Kurt Jackson's median patient age at 75, with 67% women.
Kurt Jackson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 75
Patient panel by sex, all payers
- Women67%
- Men33%
Source: Dmand AI Patient Panel Data
Kurt H. Jackson offers telehealth to Medicare patients
Kurt Jackson accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Kurt Jackson as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Kurt H. Jackson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kurt H. Jackson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kurt H. Jackson's NPI number?
Kurt H. Jackson's NPI number is 1104178649. It was assigned on October 8, 2012, and it is active in the NPI Registry.
What does Kurt H. Jackson specialize in?
Kurt H. Jackson is a professional counselor in Chicago, Illinois. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Kurt H. Jackson practice?
Kurt Jackson practices at 10204 Bode St Suite C Suite C, Plainfield, IL 60585-9813. Kurt Jackson also practices at 8044 S Racine Ave, Chicago, IL 60620. Kurt Jackson's primary practice is Blue Moon Senior Counseling Of Illinois - Plainfield in Plainfield, Illinois.
What is Kurt H. Jackson's office phone number?
The practice phone on file for Kurt Jackson is (630) 896-7160.
What is Kurt H. Jackson's medical license number?
Kurt Jackson holds Illinois license 180015933.
What medical group is Kurt H. Jackson part of?
Kurt Jackson is linked to Blue Moon Senior Counseling.
Does Kurt H. Jackson accept Medicare?
Yes. CMS lists Kurt Jackson as accepting Medicare assignment.
Does Kurt H. Jackson offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Kurt Jackson as offering telehealth services.
How long has Kurt H. Jackson been practicing?
Kurt Jackson graduated from medical school in 2006, 20 years ago.
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