MIA JACKSON LGPC NPI 1073473815

NPI Information

  • NPI: 1073473815
  • Provider Name: MIA JACKSON, LGPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 300 TALBOT ST
    EASTON, MD
    ZIP 21601
  • Phone: (410) 822-1018

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NPI Details

Mia Jackson, LGPC is a professional counselor in Easton, MD. Mia Jackson, LGPC NPI is 1073473815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 TALBOT ST
EASTON, MD
ZIP 21601-525
Phone: (410) 822-1018
Fax: (410) 820-5884

The enumeration date for this NPI number is 11/14/2025 and was last updated on 11/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLGP15068MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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