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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KITI JACKSON
NPI 1174285613
Counselor - Mental Health in Laurel, MD

Active since October 12, 2021
14502 GREENVIEW DR STE 500, LAUREL, MD 20708(240) 415-8946 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 10, 2026, Mar 19, 2026, Oct 12, 2021 (3 updates tracked since 2021).

About Kiti Jackson NPPES

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

KITI JACKSON (NPI 1174285613) is an individual mental health provider in Laurel, Maryland, licensed in Maryland (LC14207) and active in the NPI registry since October 2021. She maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1174285613
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKITI JACKSON
Location Address14502 GREENVIEW DR STE 500Laurel, MD 20708-4245
Mailing Address14502 Greenview Dr Ste 500Laurel, MD 20708-4245 · (240) 415-8946
Phone(240) 415-8946
Sole ProprietorYes
Enumeration DateOctober 12, 2021
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1174285613 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 · LC14207
14502 GREENVIEW DR STE 500, Laurel, MD 20708
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Secondary Practice Location 1

Location 110430 Shaker Dr Ste 200Columbia, MD 21046-2336 · Phone (240) 415-8946

Other Providers at the Same Location NPPES 11

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

QUALITY N CARE GROUP, CORP
Home Health
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (301) 965-6328
MOMAN WARRAICH
Specialist/Technologist, Other
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (202) 670-6447
MR. KEVIN J SMITH
Behavior Technician
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (301) 363-9133
ANA MARIA JOHNSON LICSW, LCSW-C
Social Worker (Clinical)
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (301) 458-0201
GAVA HEALTHCARE SERVICES, LLC
In Home Supportive Care
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (240) 202-2321
PATHWAY HEALTH AND WELLNESS LLC
Community/Behavioral Health
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (240) 564-8955
MS. SUZIE FATOU JACKATEY NP
Nurse Practitioner (Family)
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (857) 999-6122
HOPEWORKS COUNSELING SERVICES
Counselor (Mental Health)
14502 GREENVIEW DR STE 500
LAUREL, MD 20708
Prince George's County (757) 593-4272

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 Kiti Jackson's NPI number?

The NPI number for Kiti Jackson is 1174285613. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Kiti Jackson located?

Kiti Jackson practices at 14502 Greenview Dr Ste 500, Laurel, MD 20708. The listed phone number is (240) 415-8946.

What is Kiti 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 Kiti Jackson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.