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

Shantius Jackson, LPC

Individual provider Professional Counselor · NPI 1780104455

Shantius Jackson, LPC is a Professional Counselor in Hyattsville, Maryland. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2400 Queens Chapel Rd Apt 402
Hyattsville, MD 20782-3637
Phone: (305) 345-5401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1780104455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 23, 2017
Last updated in NPPESJune 23, 2017

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