Active NPI
Andrea Brown Jackson, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1366681942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC13928
- Practice address
- 3438 Summit CT NE
Washington, DC 20018-1651 - Phone
- (202) 641-5988
- NPI assigned
- Feb 5, 2009
- Last updated
- Feb 5, 2009
- 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 | PRC13928 | DC | Primary |
Addresses
Primary practice location
3438 Summit CT NE
Washington, DC 20018-1651
Mailing address
3438 Summit CT NE
Washington, DC 20018-1651
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 |
|---|---|---|---|
| PRC13928 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1366681942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3438 SUMMIT CT NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3438 SUMMIT CT NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181651",
"telephone_number": "202-641-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ANDREA",
"middle_name": "BROWN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC13928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.