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SHELBY JACKSON
NPI 1245827815
Counselor - Mental Health in Upper Marlboro, MD

Active since December 29, 2020
13400 EDGEMEADE RD, UPPER MARLBORO, MD 20772(240) 681-6000 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Jackson NPPES

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

SHELBY JACKSON (NPI 1245827815) is an individual mental health provider in Upper Marlboro, Maryland and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1245827815
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELBY JACKSON
Location Address13400 EDGEMEADE RDUpper Marlboro, MD 20772-8088
Mailing Address13400 Edgemeade RdUpper Marlboro, MD 20772-8088 · (240) 681-6000
Phone(240) 681-6000
Sole ProprietorNo
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1245827815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13400 EDGEMEADE RD, Upper Marlboro, MD 20772
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Other Providers at the Same Location NPPES 18

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

MISS SARIE SCOTT LGPC
Counselor (Mental Health)
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (240) 681-6000
LAKISHA M WILLIAMS DHA, CRNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (301) 358-0192
MS. WINIFRED RIDLEY LMSW, LGSW
Social Worker
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (240) 681-6000
ADEREMI BENSON LCPC
Counselor (Professional)
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (240) 681-6000
KIE-AIRE SAVOY
Counselor (Mental Health)
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (301) 358-0192
SYMONE LYLES
Social Worker (Clinical)
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (240) 681-6000
MISS OLAYEMI ABIOLA ADUROTA FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (240) 825-9529
BRUNILDA MUNIR LATE M.D.
Emergency Medicine
13400 EDGEMEADE RD
UPPER MARLBORO, MD 20772
Prince George's County (301) 358-0192

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 Shelby Jackson's NPI number?

The NPI number for Shelby Jackson is 1245827815. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Shelby Jackson located?

Shelby Jackson practices at 13400 Edgemeade Rd, Upper Marlboro, MD 20772. The listed phone number is (240) 681-6000.

What is Shelby 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 Shelby Jackson was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.