Keyana A Graham-Jackson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC14960 Issued in MD

Practice address

7604 Hearthside Way Unit 1039
Elkridge, MD 21075-7365

Phone

(301) 806-0138

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

No

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

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• KG Mental Help

  • Professional Counselor
  • Elkridge, MD
  • NPI 1487403929
  Medicare reassignment NPD
• SMR Counseling Services, LLC

  • Professional Counselor
  • Calverton, MD
  • NPI 1508205295

  Mental Health

  NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1417691106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 HEARTHSIDE WAY UNIT 1039",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757365",
            "telephone_number": "301-806-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 HEARTHSIDE WAY UNIT 1039",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757365",
            "telephone_number": "301-806-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM-JACKSON",
        "first_name": "KEYANA",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A Gormley, DPM
• June Marie Gose, PHARM.D.
• Mark Steven Gosnell, M.D.
• Chandler Gowens
• Rebecca Grady, LCSW-C
• Ginger V. Graham-Lewis, PT, DPT
• Kara Grandea, M.O.M, L.AC.
• Greater Maryland Pain Management, LLC (Greater Maryland Pain Management)
• Kelsey Marie Green, LGPC
• Stephen Elliot Grill, MD PHD

• Mental Health Counselor in Elkridge, MD
• Providers in Elkridge, 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 Jan 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.