Lerin Jackson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R200117 Issued in MD

Practice address

5401 Old Court Rd
Randallstown, MD 21133-5103

Phone

(443) 488-3645

NPI assigned

Jan 15, 2020

Last updated

Jan 15, 2020By 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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• American Psychiatric Care

  • Psychiatry Physician
  • Bel Air, MD
  • NPI 1184049736

  DC

  Medicare reassignment NPD
• Homeostasis Haven

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1205527850
  NPD Authorized official
• Able Minds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Catonsville, MD
  • NPI 1063289874
  Medicare reassignment
• American Psychiatric Care

  • Psychiatry Physician
  • Perry Hall, MD
  • NPI 1336834100

  Psychiatric/Mental Health

  NPD
• American Psychiatric Care LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1114532454
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1336779578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HILLENWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393620",
            "telephone_number": "443-488-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "443-488-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LERIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Invincible Care of Adversity, Inc.
• Natalia Iula, PTA
• Ronke F Iziogo
• Sunday Iziogo Sr.
• J & G Family Practice LLC
• Joan Jaja
• Judeith Lynda James, RN
• Rosalyn Savetri Jangdharrie-Palmer, LCSW-C
• Scott J Jankowiak, PA-C
• Lee Gardie Jean, MD

• Psychiatric/Mental Health Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.