Chianti Yondami Jackson , LCPC
Counselor - Professional • Timonium, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Chianti Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Chianti Jackson, LCPC was a registered Counselor - Professional practicing in Timonium, MD. Throughout an active medical career spanning 13 years, Chianti Jackson provided care at the practice location at 2429 CHETWOOD CIRCLE until profile deactivation on 2020-05-28.
Practice Location & Contact Primary Location
2429 Chetwood Circle
Ste 2
Timonium, MD 210932533
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Timonium, MD
Practicing in Timonium, MD (4138 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Social Worker - Clinical
Licensed Clinical Social Worker - Certified
Social Worker - Clinical
Licensed Clinical Social Worker - Certified
Social Worker
Licensed Clinical Social Worker - Certified
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2020
NPI status registered as active in NPPES database
Registered at 2429 CHETWOOD CIRCLE, STE 2, TIMONIUM, MD 210932533 (Tel: 4107443322)
Registered at 2429 CHETWOOD CIRCLE, STE 2, TIMONIUM, MD 210932533 (Tel: 4107443322)
Recorded as CHIANTI JACKSON, LCPC
Counselor (License #LC1905 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2429 Chetwood Circle, Ste 2
Timonium, MD 210932533
Phone: 4107443322
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