MS. MARY GENNIFER JACKSON LCPC
NPI 1649559410
Counselor - Professional in Westminster, MD

Q: What is Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1649559410. It was assigned to this individual provider in the NPPES registry on August 11, 2011. The provider is also known as Mary Jackson Clark.

Q: What is Mary Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 11, 2011

904-A WASHINGTON ROAD, WESTMINSTER, MD 21157(410) 751-9205(410) 751-6191 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Ms. Mary Gennifer Jackson Lcpc NPPES

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

MS. MARY GENNIFER JACKSON LCPC (NPI 1649559410) is an individual professional provider in Westminster, Maryland, licensed in Maryland (LC0855) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1649559410

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. MARY GENNIFER JACKSONCredential: LCPC

Location Address904-A WASHINGTON ROADWestminster, MD 21157

Mailing Address6 Park Center Court, Suite 103Owings Mills, MD 21117 · (410) 356-3344 · Fax (410) 356-4459

Phone(410) 751-9205

Fax(410) 751-6191

Sole ProprietorNo

Enumeration DateAugust 11, 2011

Last NPPES UpdateJanuary 29, 2024

✔ NPI 1649559410 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 · LC0855

904-A WASHINGTON ROAD, Westminster, MD 21157

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Other Names 1

Former Name (1)Mary Jackson Clark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1649559410. It was assigned to this individual provider in the NPPES registry on August 11, 2011. The provider is also known as Mary Jackson Clark.

Where is Mary Jackson located?

Mary Jackson practices at 904-A Washington Road, Westminster, MD 21157. The listed phone number is (410) 751-9205.

What is Mary Jackson's specialty?

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

What insurance does Mary Jackson accept?

Health plans from Providence Health Plan list Mary Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.