Jackson Therapy Services LLC
NPI 1669921193 · Clinical Psychologist · Towson, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Therapy Services LLC is a Clinical Psychologist organization in Towson, MD (NPI 1669921193).
Provider details
- NPI number
- 1669921193
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ilana Jackson, Owner(908) 839-7117
- License
- 05059 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-09-26
- Last updated
- 2016-09-26
Frequently asked questions
- What is Jackson Therapy Services LLC's NPI number?
- Jackson Therapy Services LLC's National Provider Identifier (NPI) is 1669921193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Therapy Services LLC?
- Jackson Therapy Services LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jackson Therapy Services LLC located?
- Jackson Therapy Services LLC's practice location on file with NPPES is 405 Allegheny Ave, Towson, MD 21204-4256.
- What is Jackson Therapy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Therapy Services LLC is (908) 839-7117.
- Does Jackson Therapy Services LLC accept Medicare?
- Jackson Therapy Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Therapy Services LLC?
- The authorized official listed on Jackson Therapy Services LLC's NPPES record is Ilana Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Therapy Services LLC's NPI active?
- Yes — Jackson Therapy Services LLC's NPI (1669921193) is active in the NPPES registry as of the last update on 2016-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.