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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.

AYANA JACKSON LCSW-C
NPI 1558887117
Counselor - Mental Health in Frederick, MD

Active since August 16, 2017
176 THOMAS JOHNSON DR, FREDERICK, MD 21702(240) 608-5540(301) 471-1258 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2023, Aug 16, 2017 (2 updates tracked since 2017).

About Ayana Jackson Lcsw-c NPPES

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

AYANA JACKSON LCSW-C (NPI 1558887117) is an individual mental health provider in Frederick, Maryland, licensed in Maryland (20274) and active in the NPI registry since August 2017. She maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1558887117
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAYANA JACKSONCredential: LCSW-C
Location Address176 THOMAS JOHNSON DRFrederick, MD 21702-4410
Mailing Address2101 S Blackhawk Street, 240Aurora, CO 80014 · (301) 471-1258
Phone(240) 608-5540
Fax(301) 471-1258
Sole ProprietorYes
Enumeration DateAugust 16, 2017
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1558887117 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 · 20274
176 THOMAS JOHNSON DR, Frederick, MD 21702
Open in Google Maps ↗

Secondary Practice Location 1

Location 12101 S Blackhawk Street, 240Aurora, CO 80014 · Phone (301) 471-1258

Other Identifiers 1

Medicaid0000000MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. JOHN R KOVITCH DDS
Dentist (General Practice)
176 THOMAS JOHNSON DR, SUITE 200
FREDERICK, MD 21702
Frederick County (301) 663-4012
MRS. MARGARET L. HERRING LCSW-C
Social Worker (Clinical)
176 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (240) 409-1122
CHRISTIE ROSE LCSW-C-
Social Worker (Clinical)
176 THOMAS JOHNSON DR, SUITE105
FREDERICK, MD 21702
Frederick County (240) 447-3991
LIVE RADIOLOGY, LLC
Clinic/Center (Radiology)
176 THOMAS JOHNSON DR, SUITE 103
FREDERICK, MD 21702
Frederick County (301) 694-2630
BERRY CHIROPRACTIC CENTER
Chiropractor (Rehabilitation)
176 THOMAS JOHNSON DR, #204
FREDERICK, MD 21702
Frederick County (301) 620-4100
DR. MINDY KOROL
Psychologist (Clinical)
176 THOMAS JOHNSON DR, SUITE 203
FREDERICK, MD 21702
Frederick County (301) 471-1705
DR. DONALD BLAKE BERRY DC
Chiropractor
176 THOMAS JOHNSON DR, SUITE 204
FREDERICK, MD 21702
Frederick County (301) 620-4100

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 Ayana Jackson's NPI number?

The NPI number for Ayana Jackson is 1558887117. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Ayana Jackson located?

Ayana Jackson practices at 176 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (240) 608-5540.

What is Ayana 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 Ayana Jackson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.