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

Individual provider Mental Health Counselor · NPI 1588224174

Mysia Jackson, LCPC is a Mental Health Counselor in Catonsville, Maryland. Qualified in 2017, 9 years ago. Practices with Holistic Psychohealth Services LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

632 Frederick Rd Ste 200
Catonsville, MD 21228-4696
Phone: (443) 413-9874
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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 LC11648 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence LGP8492 (MD)

Record details

NPI number1588224174
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address5275 N George Street Ext, Manchester, PA 17345-9400

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Holistic Psychohealth Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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