OMEAKA JACKSON
NPI 1528329117
Counselor - Professional in Cambridge, MD

Active since May 31, 2012
204 CEDAR ST, STE 102, CAMBRIDGE, MD 21613(301) 728-3857 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omeaka Jackson NPPES

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

OMEAKA JACKSON (NPI 1528329117) is an individual professional provider in Cambridge, Maryland, licensed in Maryland (LC5086) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1528329117
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOMEAKA JACKSON
Location Address204 CEDAR ST, STE 102Cambridge, MD 21613-2395
Mailing Address204 Cedar St, Ste 102Cambridge, MD 21613-2395 · (301) 728-3857
Sole ProprietorYes
Enumeration DateMay 31, 2012
Last NPPES UpdateMay 24, 2016
NPI 1528329117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC5086
204 CEDAR ST, Cambridge, MD 21613

Other Identifiers 1

Medicaid0723835MD

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.

Counselor (Professional)
204 CEDAR ST, STE 102
CAMBRIDGE, MD 21613
Psychologist (Intellectual and Developmental Disabilities)
204 CEDAR ST
CAMBRIDGE, MD 21613

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 Omeaka Jackson's NPI number?

The NPI number for Omeaka Jackson is 1528329117. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Omeaka Jackson located?

Omeaka Jackson practices at 204 Cedar St Ste 102, Cambridge, MD 21613. The listed phone number is (301) 728-3857.

What is Omeaka Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Omeaka Jackson was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.