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

Vivian Ann Jackson, LMHC

Individual provider Mental Health Counselor · NPI 1922210210

Vivian Ann Jackson, LMHC is a Mental Health Counselor in Starke, Florida. Qualified in 2011, 15 years ago. Practices with Quality Bhs Florida LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2007
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

945 Grand St
Starke, FL 32091-1821
Phone: (352) 374-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH17142 (FL)

Record details

NPI number1922210210
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Quality Bhs Florida Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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