Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417035825 Individual Practitioner Male Practitioner

Darrell M Jackson

Counselor • Salisbury, MD

Professional Overview & Biography Verified Profile Summary

Darrell Jackson is a registered healthcare professional specializing in Counselor in Salisbury, MD. Practice services are available at 2336 GODDARD PARKWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2336 Goddard Parkway

Salisbury, MD 21801

Telephone 4103346961
Fax 4103346960
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Salisbury, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
86 Specialists

Practicing in Salisbury, MD (1047 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
609500303 (MD)
Medicaid State Provider ID
609550004 (MD)
Medicaid State Provider ID
609550001 (MD)
Medicaid State Provider ID
609500300 (MD)
Commercial Insurance / Payer ID Carefirst Bcbs Group
LM49EA (MD)
Commercial Insurance / Payer ID Magellan Group
259147000 (MD)
Commercial Insurance / Payer ID Uhc Mamsi Group
517251
Commercial Insurance / Payer ID Carefirst Bcbs Group
R968 (DC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nina Thompson

Counselor

NPI 1023196433
Katelyn Burke

Counselor

NPI 1023665700
Dr. Khalid Ahmed , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1033254115

Doctor of Medicine (M.D.)

NPI 1033666011

Bachelor of Arts

Barbara Ruark

Counselor

NPI 1033682737
Shirley Bruner , LCSWC

Social Worker - Clinical

NPI 1083791867

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2008

Registered at 2336 GODDARD PARKWAY, SALISBURY, MD 21801 (Tel: 4103346961)

📍
Updated Business Mailing Address September 18, 2008

Registered at 2336 GODDARD PARKWAY, SALISBURY, MD 21801 (Tel: 4103346961)

👤
Provider Name / Credentials Updated September 18, 2008

Recorded as DARRELL JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2008

Counselor

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417035825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: September 18, 2008
Sole Proprietor: No

Mailing Address

2336 Goddard Parkway

Salisbury, MD 21801

Phone: 4103346961

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.