Individual provider Active NPI

Jaime Lynn Barnes, LCPC

  • Professional Counselor
  • White Plains, MD
National Provider Identifier
1003110719
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3093 Issued in MD
Practice address
4545 Crain Hwy
White Plains, MD 20695-1050
Phone
(301) 609-6718
Fax
(301) 609-6741
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3093 MD Primary

Addresses

Primary practice location

4545 Crain Hwy
White Plains, MD 20695-1050

Mailing address

4545 Crain Hwy
White Plains, MD 20695-1050
Phone (301) 609-6718

Other practice location 1

601 Post Office Rd
Suite 2D
Waldorf, MD 20602
Phone (301) 848-0461

Other identifiers 1

IdentifierTypeStateIssuer
424194100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://lhd.patagoniaemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC3093MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coquus PastSince Jul 1, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1003110719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206951050",
            "telephone_number": "301-609-6718",
            "fax_number": "301-609-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206951050",
            "telephone_number": "301-609-6718",
            "fax_number": "301-609-6741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Post Office Rd",
            "address_2": "Suite 2D",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "20602",
            "country_code": "US",
            "telephone_number": "301-848-0461",
            "fax_number": "301-885-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424194100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lhd.patagoniaemr.com",
            "affiliation": "N",
            "endpointDescription": "Patagonia EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "4545 Crain Hwy",
            "city": "White Plains",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206951050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.