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PHYLLIS BELT-JACKSON LGPC
NPI 1285385187
Counselor - Mental Health in Baltimore, MD

Active since January 12, 2022PECOS Enrolled
940 MADISON AVE STE 202, BALTIMORE, MD 21201(410) 777-8710(443) 434-0110 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phyllis Belt-jackson Lgpc NPPES

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

PHYLLIS BELT-JACKSON LGPC (NPI 1285385187) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LGP12018) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285385187
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS BELT-JACKSONCredential: LGPC
Location Address940 MADISON AVE STE 202Baltimore, MD 21201-2113
Mailing Address940 Madison Ave Ste 202Baltimore, MD 21201-2113 · (410) 777-8710 · Fax (443) 434-0110
Phone(410) 777-8710
Fax(443) 434-0110
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1285385187 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 · LGP12018
940 MADISON AVE STE 202, Baltimore, MD 21201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Belt-jackson Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678041340
PECOS Enrollment IDI20260511003960
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phyllis Belt-jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parker Psychiatric Services, Incorporated
Same address
Mental Health (Including Community Mental Health Center)
940 MADISON AVE STE 202
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
NPI 1912478900 (410) 440-0317

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. LETITIA FLOWERS LMSW
Social Worker
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (410) 777-8710
MARQUITTA GOLSTON LMSW
Social Worker
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (410) 777-8710
NYENPU KAMEI LMSW
Counselor (Mental Health)
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (443) 563-8516
TAVON JACKSON LMSW
Social Worker (Clinical)
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (410) 777-8710
LATEYA AKUFFO LMSW
Counselor (Mental Health)
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (443) 563-8516
PARKER PSYCHIATRIC SERVICES, INCORPORATED
Counselor (Addiction (Substance Use Disorder))
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (410) 777-8710
PARKER PSYCHIATRIC SERVICES, INCORPORATED
Preferred Provider Organization
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (410) 777-8710
MRS. DEANNA M DISHMAN LCSW-C
Social Worker (Clinical)
940 MADISON AVE STE 202
BALTIMORE, MD 21201
Baltimore City (410) 777-8710

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 Phyllis Belt-jackson's NPI number?

The NPI number for Phyllis Belt-jackson is 1285385187. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Phyllis Belt-jackson located?

Phyllis Belt-jackson practices at 940 Madison Ave Ste 202, Baltimore, MD 21201. The listed phone number is (410) 777-8710.

What is Phyllis Belt-jackson's specialty?

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

Is Phyllis Belt-jackson enrolled in Medicare?

Yes. Phyllis Belt-jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phyllis Belt-jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Belt-jackson reassigns Medicare benefits to Parker Psychiatric Services, Incorporated (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phyllis Belt-jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phyllis Belt-jackson was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.