MS. GIANNA LATRICE JACKSON GMFT
NPI 1194297036
Counselor in Waldorf, MD

Q: What is Gianna Jackson's NPI number?

The NPI number for Gianna Jackson is 1194297036. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Gianna Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Gianna Jackson was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 17, 2018

2255 CRAIN HWY STE 107, WALDORF, MD 20601(301) 292-2778 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Gianna Latrice Jackson Gmft NPPES

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

MS. GIANNA LATRICE JACKSON GMFT (NPI 1194297036) is an individual counselor in Waldorf, Maryland and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1194297036

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. GIANNA LATRICE JACKSONCredential: GMFT

Location Address2255 CRAIN HWY STE 107Waldorf, MD 20601-3186

Mailing AddressPo Box 644Temple Hills, MD 20757-0644 · (619) 944-9971

Phone(301) 292-2778

Sole ProprietorYes

Enumeration DateDecember 17, 2018

✔ NPI 1194297036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 223042 (CA)

2255 CRAIN HWY STE 107, Waldorf, MD 20601

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Other Providers at the Same Location NPPES 2

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

HISPANIC AMERICAN PEDIATRICS & FAMILY CARE LLC

Clinic/Center (Primary Care)

2255 CRAIN HWY STE 107
WALDORF, MD 20601

Charles County (301) 818-7272

MRS. LETICIA G BUSTAMANTE SANCHEZ CRNP

Nurse Practitioner (Family)

2255 CRAIN HWY STE 107
WALDORF, MD 20601

Charles County (301) 818-7272

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 Gianna Jackson's NPI number?

The NPI number for Gianna Jackson is 1194297036. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Gianna Jackson located?

Gianna Jackson practices at 2255 Crain Hwy Ste 107, Waldorf, MD 20601. The listed phone number is (301) 292-2778.

What is Gianna Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Gianna Jackson was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.