Individual provider Active NPI

Megan Jackson

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1205423274
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC200012631 Issued in DC
Practice address
100 Gallatin St NE
Washington, DC 20011-7533
Phone
(704) 661-4108
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC200012631 DC Primary

Addresses

Primary practice location

100 Gallatin St NE
Washington, DC 20011-7533

Mailing address

106 U St NE
Washington, DC 20002-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219003912 DC Practitioner - Mental Health Counselor 1658866215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
George Washington University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1211 7TH St NW Apt
Suite 403
Washington, DC 20001-3563

2333 Ontario Rd NW
Washington, DC 20009-2627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC200012631DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc. CurrentSince Nov 11, 2025 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Nov 11, 2025 Accepting new patients

Locations

100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1205423274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 U ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GALLATIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117533",
            "telephone_number": "704-661-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC200012631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.