MRS. BRONTE NICCOLE JACKSON LGPC
NPI 1942956388
Counselor - Mental Health in Salisbury, MD
About Mrs. Bronte Niccole Jackson Lgpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRONTE NICCOLE JACKSON LGPC (NPI 1942956388) is an individual mental health provider in Salisbury, Maryland, licensed in Maryland (LGP9959) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Bronte Niccole Jackson Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Bronte Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, MD 21804
- Reassigned Medicare billing, Maryland enrollment
- 15 clinicians in this Medicare group
Waldorf, MD 20601
- Reassigned Medicare billing, Maryland enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bronte Jackson's NPI number?
The NPI number for Bronte Jackson is 1942956388. It was assigned to this individual provider in the NPPES registry on February 24, 2022.
Where is Bronte Jackson located?
Bronte Jackson practices at 6508 Deer Pointe Dr # 4C, Salisbury, MD 21804. The listed phone number is (410) 742-6016.
What is Bronte Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bronte Jackson enrolled in Medicare?
Yes. Bronte Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bronte Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bronte Jackson reassigns Medicare benefits to 2 organizations: The Personal Wellness Center (Salisbury, MD) and Maryland Wellness LLC (Waldorf, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bronte Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bronte Jackson was last updated on February 24, 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.
# Mrs. Bronte Niccole Jackson, LGPC · NPI 1942956388
Mental Health provider in Salisbury, Maryland. Individual provider, active in the CMS NPPES registry since February 24, 2022.
## Identity
- **NPI:** 1942956388 (Entity type: Individual)
- **Enumerated:** February 24, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LGP9959 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6508 DEER POINTE DR # 4C, Salisbury, MD 21804-1668
- **Phone:** (410) 742-6016
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Personal Wellness Center (NPI 1093050890, Salisbury, MD); Maryland Wellness LLC (NPI 1699358572, Waldorf, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942956388) · Data from the CMS NPPES public registry.