MYSIA JACKSON (NPI# 1588224174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588224174 |
| Entity Type | Individual |
| Full Name | MYSIA JACKSON |
| Credential | LGPC |
| Practice Address |
3425 Sinclair Ln Baltimore MD 21213-2030 |
| Practice Telephone | 4103661151 |
| Mailing Telephone | 4103661151 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGP8492 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3425 SINCLAIR LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21213-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265486740 | Therapeutic Living for Families Inc. | Clinic/Center | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2006-05-20 |
| 1063044964 | Therapeutic Living for Families Inc | Community/Behavioral Health | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2020-02-08 |
| 1174176788 | Aniekan Akpan Vincent | Registered Nurse | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2019-07-23 |
| 1053971648 | D'anita Parker | Counselor | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2019-06-17 |
| 1053899468 | Sarah J Shaton | Social Worker | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2018-07-30 |
| 1316446610 | Kelcee Molen | Counselor | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2018-02-02 |
| 1538668801 | James Gray | Counselor | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2018-02-01 |
| 1588010144 | Linda Smart-sullivan | Social Worker | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2016-05-12 |
| 1467842500 | Nalty & Associates | Clinic/Center | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2015-01-28 |
| 1619374071 | Joanne Silverstein | Counselor | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1538627807 | Beverly V Whittaker-mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1700398914 | Ags Programs LLC | Clinic/Center | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
| 1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
| 1699205294 | Live & Let Live LLC | Counselor | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
| 1174052518 | Vel J Humbert | Counselor | 3549 Elmley Ave, Baltimore, MD 21213 | 2017-06-08 |
| 1134676620 | Larry Kirkland | Counselor | 3051 Sinclair Lane, Baltimore, MD 21213 | 2016-09-01 |
| 1093170862 | Renewed Minds Therapeutic Services LLC | Clinic/Center | 1515 E Biddle Street, Baltimore, MD 21213 | 2015-12-22 |
| 1073980827 | Family Therapy Services,llc | Counselor | 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 | 2015-08-27 |
| Find all providers in zip 21213 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1962002709 | This Generation Will Succeed, LLC | Counselor | 2835 Odonnell St Ste 203, Baltimore, MD 21224-4995 | 2020-10-30 |
| 1174123244 | Alexia N Smith | Counselor | 841 E Fort Ave # 385, Baltimore, MD 21230-5117 | 2020-10-28 |
| 1578179396 | Jomar Nicholas Mcfarlane | Counselor | 141 N Patterson Park Ave, Baltimore, MD 21231-1659 | 2020-09-17 |
| 1871106559 | Diana Harden | Counselor | 5022 Campbell Blvd # L-m, Baltimore, MD 21236-4969 | 2020-08-24 |
| 1053922708 | Shaindel Edelman | Counselor | 17 Warren Rd Ste 25b, Baltimore, MD 21208-5334 | 2020-08-14 |
| 1912524323 | Lydia Hubbard | Counselor | 1800 N Charles St Ste 1600, Baltimore, MD 21201-5920 | 2020-07-01 |
| 1184249922 | Building People Behavioral Health | Counselor | 2140 Mcculloh St, Baltimore, MD 21217-3529 | 2020-06-08 |
| 1033733274 | The Improving Quality of Life, LLC | Counselor | 5602 Baltimore National Pike Suite 300, Baltimore, MD 21228-1410 | 2020-06-03 |
| 1053933986 | David Lewis | Counselor | 125 N Hilton St, Baltimore, MD 21229-3748 | 2020-05-14 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.