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MRS. KEISHA JACKSON LCPC
NPI 1851869697
Counselor - Mental Health in Camp Springs, MD

Active since November 09, 2018PECOS Enrolled
5801 ALLENTOWN RD STE 310, CAMP SPRINGS, MD 20746(240) 392-2876 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Keisha Jackson Lcpc NPPES

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

MRS. KEISHA JACKSON LCPC (NPI 1851869697) is an individual mental health provider in Camp Springs, Maryland, licensed in Maryland (LC11445) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851869697
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KEISHA JACKSONCredential: LCPC
Location Address5801 ALLENTOWN RD STE 310Camp Springs, MD 20746-4564
Mailing Address12301 Welford Manor DrUpper Marlboro, MD 20772-6045 · (202) 486-2152
Phone(240) 392-2876
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 9, 2018
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1851869697 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 · LC11445✔ Licensed in MD · LGP8380
5801 ALLENTOWN RD STE 310, Camp Springs, MD 20746
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Keisha Jackson Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628549094
PECOS Enrollment IDI20260605003089
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 4

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

KIRSTIN CARE LLC
Registered Nurse (Home Health)
5801 ALLENTOWN RD STE 310
CAMP SPRINGS, MD 20746
Prince George's County (392) 240-2876
SAFIYA MCHALE LMSW
Social Worker (Clinical)
5801 ALLENTOWN RD STE 310
CAMP SPRINGS, MD 20746
Prince George's County (240) 392-2876
KIRSTIN CARE LLC
Home Health
5801 ALLENTOWN RD STE 310
SUITLAND, MD 20746
Prince George's County (240) 392-2876
DR. JERRYE B FELICIANA PHD, LCPC-S
Counselor
5801 ALLENTOWN RD STE 310
CAMP SPRINGS, MD 20746
Prince George's County (240) 392-2876

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 Keisha Jackson's NPI number?

The NPI number for Keisha Jackson is 1851869697. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Keisha Jackson located?

Keisha Jackson practices at 5801 Allentown Rd Ste 310, Camp Springs, MD 20746. The listed phone number is (240) 392-2876.

What is Keisha Jackson's specialty?

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

Is Keisha Jackson enrolled in Medicare?

Yes. Keisha Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keisha Jackson was last updated on March 28, 2022. 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.