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KIRSTEN TAMARA JACKSON LCPC
NPI 1033961990
Counselor - Mental Health in Laurel, MD

Active since April 03, 2024
9565 SYLVAN STILL RD, LAUREL, MD 20723(240) 354-7446 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kirsten Tamara Jackson Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRSTEN TAMARA JACKSON LCPC (NPI 1033961990) is an individual mental health provider in Laurel, Maryland, licensed in Maryland (LC17136) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1033961990
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIRSTEN TAMARA JACKSONCredential: LCPC
Location Address9565 SYLVAN STILL RDLaurel, MD 20723-1540
Mailing Address9565 Sylvan Still Rd Apt QLaurel, MD 20723-1540 · (240) 354-7446
Phone(240) 354-7446
Sole ProprietorYes
Enumeration DateApril 3, 2024
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1033961990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC17136
9565 SYLVAN STILL RD, Laurel, MD 20723
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DIVINE ANABAH FOBANG
Case Manager/Care Coordinator
9565 SYLVAN STILL RD, APT.B
LAUREL, MD 20723
Howard County (202) 689-9043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirsten Jackson's NPI number?

The NPI number for Kirsten Jackson is 1033961990. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Kirsten Jackson located?

Kirsten Jackson practices at 9565 Sylvan Still Rd, Laurel, MD 20723. The listed phone number is (240) 354-7446.

What is Kirsten Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kirsten Jackson was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.