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

Skylette V Jackson, LCPCMD, LPCVA

Individual provider Mental Health Counselor · NPI 1639667611

Skylette V Jackson, LCPCMD, LPCVA is a Mental Health Counselor in Princess Anne, Maryland. Qualified in 2014, 12 years ago. Licensed in Delaware, Maryland and Virginia.

Years since qualifying
12
Licensed in
DE, MD, VA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

12302 Somerset Ave Ste D
Princess Anne, MD 21853-3099
Phone: (443) 614-0829
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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 LC17807 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0701015474 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1718 (DE)

Record details

NPI number1639667611
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPCMD , LPCVA
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address12302 Somerset Ave, Princess Anne, MD 21853-3099

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Princess Anne