DIANA M JACKSON
NPI 1104506088
Counselor - Mental Health in Purcellville, VA

Active since July 24, 2023
341 E G ST, PURCELLVILLE, VA 20132(240) 446-9852 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Diana M Jackson NPPES

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

DIANA M JACKSON (NPI 1104506088) is an individual mental health provider in Purcellville, Virginia, licensed in Virginia (0704013604) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104506088
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIANA M JACKSON
Location Address341 E G STPurcellville, VA 20132-3326
Mailing Address341 E G StPurcellville, VA 20132-3326 · (240) 446-9852
Sole ProprietorYes
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
NPI 1104506088 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 VA · 0704013604
341 E G ST, Purcellville, VA 20132

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 Diana Jackson's NPI number?

The NPI number for Diana Jackson is 1104506088. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Diana Jackson located?

Diana Jackson practices at 341 E G St, Purcellville, VA 20132. The listed phone number is (240) 446-9852.

What is Diana 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 Diana Jackson was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.