NPPES file of Aug 9, 2026

Derda Jackson, LMHC

Mental Health Counselor · Jacksonville, FL

Derda Jackson, LMHC is a mental health counselor with a practice address in Jacksonville, Florida, and NPI 1154016863, issued on Apr 7, 2023. Check the license (Florida MH21947, as entered in NPPES) on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154016863
Name
Derda Jackson
Credential
LMHC
Primary taxonomy
Mental Health Counselor 101YM0800X
License number
MH21947 FL
Self-reported in NPPES; status is on the state search
Practice location
10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256
Phone
(904) 776-1061
Enumerated
Apr 7, 2023
Record last updated
Oct 12, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 10752 Deerwood Park Blvd Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Crystal Ciszek, FNPFamily Nurse Practitioner1124486089
  2. Chandra Hicks, LMHCMental Health Counselor1386023950
  3. Lauren OlsenHomemaker1942720990
  4. Samantha Reiman, PH.D.Clinical Psychologist1265360994
  5. Erin SmithPsychiatric/Mental Health Nurse Practitioner1235875311
  6. Mercedes Waugaman, MS, RDN, LDNRegistered Dietitian1699545152

Verify Derda Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license MH21947
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Derda Jackson among 23,249 mental health counselor records in Florida

Derda Jackson, LMHC is one of 23,249 mental health counselor records with a practice address in Florida. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 78% of them.

  • NPI issued2023 · 78% of these records are older, 16% newer
  • In a Medicare fileNo · 8% of these records are
  • In the CMS Doctors and Clinicians fileNo · 12% of these records are
  • Record last updated2025 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,365 mental health counselor records list a practice address in Jacksonville

They are 1,365 of the 24,194 NPPES records with a practice address in Jacksonville, and 23,249 mental health counselor records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 mental health counselor records with the nearest ZIP codes

  1. Tracy Bohannon, M.E.DJacksonville, FL 322561023207453
  2. Shaquanda Elem, M.A. LMHCJacksonville, FL 322561376769885
  3. Barbara Feldman, LMHCJacksonville, FL 322561023141876
  4. Shelly Fine, MASCJacksonville, FL 322561891902284
  5. Karen Fulton, MACP, LMHC, CEAPJacksonville, FL 322561356424956
  6. Ann Grenadier, PHD, LMHCJacksonville, FL 322561174665178
  7. Karen Hanson, LMHCJacksonville, FL 322561528121597
  8. Beverly Helganz, LMHC, CAPJacksonville, FL 322561982746996

Common questions

What is Derda Jackson, LMHC's NPI number?

Derda Jackson, LMHC's National Provider Identifier (NPI) is 1154016863, issued on Apr 7, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Derda Jackson, LMHC located?

The NPPES record lists a practice address at 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL, 32256. Phone: (904) 776-1061. Providers update this record themselves, so call before visiting.

How can I verify Derda Jackson, LMHC's license?

NPPES lists Florida license number MH21947, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.