Individual provider Active NPI

Asia K Jackson, LCPC

  • Professional Counselor
  • Nottingham, MD
National Provider Identifier
1538821095
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC14346 Issued in MD
Practice address
9649 Belair Rd Ste 104
Nottingham, MD 21236-1117
Phone
(410) 529-1309
NPI assigned
Oct 12, 2021
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC14346 MD Primary

Addresses

Primary practice location

9649 Belair Rd Ste 104
Nottingham, MD 21236-1117

Mailing address

3 Canoga PL Apt 2C
Nottingham, MD 21236-5241
Phone (443) 619-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP11866MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Counseling and Consulting, LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

9649 Belair Rd
Ste 104
Nottingham, MD 21236
Phone (410) 529-1309

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1538821095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CANOGA PL APT 2C",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365241",
            "telephone_number": "443-619-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9649 BELAIR RD STE 104",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361117",
            "telephone_number": "410-529-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASIA",
        "middle_name": "K",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.