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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
Phone(410) 822-1018
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
Open in Google Maps ↗

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.

HOLLY RAINA IRELAND LGSW
Social Worker
300 TALBOT ST
EASTON, MD 21601
Talbot County (410) 822-1018
MRS. CONSTANCE FRANCES WEEMS LCSWC
Social Worker
300 TALBOT ST, FOUR ALL SEASONS INC
EASTON, MD 21601
Talbot County (410) 822-1018
SUSAN HURLEY TRUITT LCSW-C
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Talbot County (410) 822-1018
MRS. JANE FEIGLESON LCSW-C
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Talbot County (410) 822-1018
JOHANNA G WALTER LCSW-C
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Talbot County (410) 822-1018
CHOICES, INC
Exclusive Provider Organization
300 TALBOT ST
EASTON, MD 21601
Talbot County (877) 565-5392
MS. CHRISTINA P MORRIS LICENSED CLINICAL SO
Social Worker (Clinical)
300 TALBOT ST
EASTON, MD 21601
Talbot County (410) 822-1018
LISA M HYMAS LCSW-C
Social Worker
300 TALBOT ST
EASTON, MD 21601
Talbot County (410) 822-1018

Frequently Asked Questions

What is Mia Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1073473815, enumerated as an "individual" on November 14, 2025.

Where is the provider located?

The provider is located at 300 TALBOT ST EASTON, MD 21601 and the phone number is (410) 822-1018.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.