MIA JACKSON LGPC
NPI 1073473815
Counselor - Professional in Easton, MD

Active since November 14, 2025
300 TALBOT ST, EASTON, MD 21601(410) 822-1018(410) 820-5884 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mia Jackson Lgpc NPPES

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

MIA JACKSON LGPC (NPI 1073473815) is an individual professional provider in Easton, Maryland, licensed in Maryland (LGP15068) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1073473815
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIA JACKSONCredential: LGPC
Location Address300 TALBOT STEaston, MD 21601-3525
Mailing Address300 Talbot StEaston, MD 21601-3525 · (410) 822-1018 · Fax (410) 820-5884
Fax(410) 820-5884
Sole ProprietorNo
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1073473815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LGP15068
300 TALBOT ST, Easton, MD 21601

Other Names 1

Former Name (1)Mia Bennett Lgpc

Other Providers at the Same Location NPPES 20

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

Social Worker
300 TALBOT ST
EASTON, MD 21601
Social Worker
300 TALBOT ST, FOUR ALL SEASONS INC
EASTON, MD 21601
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Exclusive Provider Organization
300 TALBOT ST
EASTON, MD 21601
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Social Worker
300 TALBOT ST
EASTON, MD 21601

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 Mia Jackson's NPI number?

The NPI number for Mia Jackson is 1073473815. It was assigned to this individual provider in the NPPES registry on November 14, 2025. The provider is also known as Mia Bennett Lgpc.

Where is Mia Jackson located?

Mia Jackson practices at 300 Talbot St, Easton, MD 21601. The listed phone number is (410) 822-1018.

What is Mia Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mia Jackson was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.