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SHANTIUS JACKSON LPC
NPI 1780104455
Counselor - Professional in Hyattsville, MD

Active since June 23, 2017
2400 QUEENS CHAPEL RD APT 402, HYATTSVILLE, MD 20782(305) 345-5401 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shantius Jackson Lpc NPPES

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

SHANTIUS JACKSON LPC (NPI 1780104455) is an individual professional provider in Hyattsville, Maryland and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1780104455
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANTIUS JACKSONCredential: LPC
Location Address2400 QUEENS CHAPEL RD APT 402Hyattsville, MD 20782-3637
Mailing Address2400 Queens Chapel Rd Apt 402Hyattsville, MD 20782-3637
Phone(305) 345-5401
Sole ProprietorYes
Enumeration DateJune 23, 2017
✔ NPI 1780104455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2400 QUEENS CHAPEL RD APT 402, Hyattsville, MD 20782
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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 Shantius Jackson's NPI number?

The NPI number for Shantius Jackson is 1780104455. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Shantius Jackson located?

Shantius Jackson practices at 2400 Queens Chapel Rd Apt 402, Hyattsville, MD 20782. The listed phone number is (305) 345-5401.

What is Shantius 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 Shantius Jackson was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.