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MS. DERDA JACKSON LMHC
NPI 1154016863
Counselor - Mental Health in Jacksonville, FL

Active since April 07, 2023
10752 DEERWOOD PARK BLVD STE 100, JACKSONVILLE, FL 32256(904) 776-1061 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2025, Apr 7, 2023 (2 updates tracked since 2023).

About Ms. Derda Jackson Lmhc NPPES

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

MS. DERDA JACKSON LMHC (NPI 1154016863) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH21947) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1154016863
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DERDA JACKSONCredential: LMHC
Location Address10752 DEERWOOD PARK BLVD STE 100Jacksonville, FL 32256-4846
Mailing Address10752 Deerwood Park Blvd Ste 100Jacksonville, FL 32256-4846 · (904) 776-1061
Phone(904) 776-1061
Sole ProprietorYes
Enumeration DateApril 7, 2023
Last NPPES UpdateOctober 12, 20252 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
✔ NPI 1154016863 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 FL · MH21947
10752 DEERWOOD PARK BLVD STE 100, Jacksonville, FL 32256
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Other Providers at the Same Location NPPES 14

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

BOBBI'S TOTAL CARE SOLUTIONS LLC
Nurse Practitioner
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 800-4775
CRYSTAL A CISZEK FNP
Nurse Practitioner (Family)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (478) 290-0677
INTEGRATIVE DIMENSIONAL HEALING, LLC
Community/Behavioral Health
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 806-4837
WININGS WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 800-4775
ERIN THERESA SMITH
Nurse Practitioner (Psychiatric/Mental Health)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 800-4775
DR. SAMANTHA MARIE REIMAN PH.D.
Psychologist (Clinical)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 925-6562
PUREVITAL NUTRITION LLC
Dietitian, Registered
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 763-9722
CHANDRA HICKS LMHC
Counselor (Mental Health)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 834-1124

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 Derda Jackson's NPI number?

The NPI number for Derda Jackson is 1154016863. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Derda Jackson located?

Derda Jackson practices at 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256. The listed phone number is (904) 776-1061.

What is Derda Jackson's specialty?

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

What insurance does Derda Jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Derda Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derda Jackson was last updated on October 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.