Active NPI
Janine Jackson, LCPC
- Professional Counselor
- Germantown, MD
National Provider Identifier
1245881432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC9691
- Practice address
- 13238 Executive Park Ter
Germantown, MD 20874-2640 - Phone
- (240) 424-0730
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC9691 | MD | Primary |
Addresses
Primary practice location
13238 Executive Park Ter
Germantown, MD 20874-2640
Mailing address
18803 Impulse LN
Gaithersburg, MD 20879-1793
Phone (301) 519-7527
Other practice location 1
13111 Moran Ct
North Potomac, MD 20878-3922
Phone (301) 977-0824
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Germantown | ||
| CONNECT URL | Gaithersburg |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC9691 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1245881432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18803 IMPULSE LN",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208791793",
"telephone_number": "301-519-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13238 EXECUTIVE PARK TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742640",
"telephone_number": "240-424-0730"
}
],
"practiceLocations": [
{
"address_1": "13111 Moran Ct",
"address_purpose": "LOCATION",
"city": "North Potomac",
"state": "MD",
"postal_code": "208783922",
"country_code": "US",
"telephone_number": "301-977-0824",
"fax_number": "240-597-0794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "JANINE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC9691",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Germantown",
"affiliation": "N",
"address_1": "13238 Executive Park Ter",
"city": "Germantown",
"state": "MD",
"country_code": "US",
"postal_code": "208742640",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Gaithersburg",
"affiliation": "N",
"address_1": "13111 Moran Ct",
"city": "North Potomac",
"state": "MD",
"country_code": "US",
"postal_code": "208783922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.