IndividualActive
Nicole Jackson, LGPC
NPI 1033865639 · Mental Health Counselor · Ellicott City, MD
Provider details
- NPI number
- 1033865639
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LGPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LGP12368 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
787 Oella Ave
Ellicott City, MD 21043-4727
Phone: (443) 720-0090
Approximate (ZIP-level) locationGet directions
Mailing address
2213 Rogene Dr Apt 101
Baltimore, MD 21209-5730
Registry dates
- Enumerated
- 2022-02-23
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.