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LAVILA D JACKSON
NPI 1639855836
Community/Behavioral Health in Columbia, MD

Active since June 23, 2023
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046(443) 852-7036 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jun 23, 2023 (2 updates tracked since 2023).

About Lavila D Jackson NPPES

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

LAVILA D JACKSON (NPI 1639855836) is an individual community/behavioral health provider in Columbia, Maryland and active in the NPI registry since June 2023. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1639855836
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameLAVILA D JACKSON
Location Address7090 SAMUEL MORSE DR STE 100Columbia, MD 21046-3444
Mailing Address6246 Heather Glen WayClarksville, MD 21029-1175 · (443) 852-7036
Phone(443) 852-7036
Sole ProprietorYes
Enumeration DateJune 23, 2023
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1639855836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7090 SAMUEL MORSE DR STE 100, Columbia, MD 21046
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Secondary Practice Location 1

Location 12811 Pennsylvania Ave SEWashington, DC 20020-3865 · Phone (202) 894-6811

Other Providers at the Same Location NPPES 20

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

ALEXANDRA M COOPER BATES
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (888) 344-5977
MS. KENDALL PATRICIA DARY
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (888) 344-5977
EMILY FROCKE
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (888) 344-5977
SKYLER RAE OFFER
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (888) 344-5977
ALYSSA N RIVERS
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (443) 410-6352
TARA LAFRANCE
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (855) 910-6147
AMARA TAYLOR
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (888) 344-5977
AENILAH WATKINS
Behavior Technician
7090 SAMUEL MORSE DR STE 100
COLUMBIA, MD 21046
Howard County (888) 344-5977

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 Lavila Jackson's NPI number?

The NPI number for Lavila Jackson is 1639855836. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Lavila Jackson located?

Lavila Jackson practices at 7090 Samuel Morse Dr Ste 100, Columbia, MD 21046. The listed phone number is (443) 852-7036.

What is Lavila Jackson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lavila Jackson was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.