Jazmine Jackson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP14925 Issued in MD

Practice address

8609 2ND Ave # 4048
Silver Spring, MD 20910-3360

Phone

(202) 674-2887

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1174374912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 PIONEER DR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442503",
            "telephone_number": "202-813-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 2ND AVE # 4048",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103360",
            "telephone_number": "202-674-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4329 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162601",
            "country_code": "US",
            "telephone_number": "301-684-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAZMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandre Jabea
• Deborah Anthony Jack, MD
• Bernaiyya Jackson
• Celitta Ann Jackson, LCPC
• Janardia Jackson
• Kavita Srivastava Jackson, M.D.
• Kirsten Jackson
• Letta M Jackson, RN
• Michelle Jackson
• Rhonda Jackson, TEACHER

• Mental Health Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.