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MYSIA JACKSON LCPC
NPI 1588224174
Counselor - Mental Health in Catonsville, MD

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
632 FREDERICK RD STE 200, CATONSVILLE, MD 21228(443) 413-9874 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 17, 2021, Jun 17, 2019 (2 updates tracked since 2019).

About Mysia Jackson Lcpc NPPES

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

MYSIA JACKSON LCPC (NPI 1588224174) is an individual mental health provider in Catonsville, Maryland, licensed in Maryland (LC11648) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588224174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMYSIA JACKSONCredential: LCPC
Location Address632 FREDERICK RD STE 200Catonsville, MD 21228-4696
Mailing Address5275 N George Street ExtManchester, PA 17345-9400 · (443) 413-9874
Phone(443) 413-9874
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 17, 2019
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1588224174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MD · LC11648✔ Licensed in MD · LGP8492
632 FREDERICK RD STE 200, Catonsville, MD 21228
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mysia Jackson Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234671207
PECOS Enrollment IDI20240605002021
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.

Other Providers at the Same Location NPPES

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

MISS GIOVANNA AMA BAISIE-ARTHUR M.S, NCC, LCPC
Counselor (Mental Health)
632 FREDERICK RD STE 200
CATONSVILLE, MD 21228
Baltimore County (410) 736-8010

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 Mysia Jackson's NPI number?

The NPI number for Mysia Jackson is 1588224174. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Mysia Jackson located?

Mysia Jackson practices at 632 Frederick Rd Ste 200, Catonsville, MD 21228. The listed phone number is (443) 413-9874.

What is Mysia Jackson's specialty?

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

Is Mysia Jackson enrolled in Medicare?

Yes. Mysia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mysia Jackson was last updated on December 17, 2021. 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.