Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keira Michelle Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699249839

Keira Michelle Jackson is a Mental Health Counselor in Manassas, Virginia. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

8601 Rose Mallow Dr Apt 415
Manassas, VA 20109-4025
Phone: (757) 232-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0704014248 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710103585 (VA)

Record details

NPI number1699249839
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2019
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address8601 Rose Mallow Dr Apt 415, Manassas, VA 20109-4025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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