Jennifer Douglas Vidas, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2825 Issued in MD

Practice address

255 Rockville Pike Ste 145
Rockville, MD 20850-5136

Phone

(240) 777-3852

Fax

(240) 777-4806

NPI assigned

Apr 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Douglas Vidas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.vidas.p1@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: jennifer.vidas.p3@direct.mcg-hhs.nextgenshare.com

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1033383955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROCKVILLE PIKE STE 145",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505136",
            "telephone_number": "240-777-3852",
            "fax_number": "240-777-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROCKVILLE PIKE STE 145",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505136",
            "telephone_number": "240-777-3852",
            "fax_number": "240-777-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAS",
        "first_name": "JENNIFER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VIDAS",
            "middle_name": "DOUGLAS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tiera Vialet
• Vicente Figueroa MD
• Devon Vickery
• Eriny Victor, PHARM D.
• Marissa Vidal
• Jaskiran Kaur Vidwan, D.O.
• Jackson Vieth
• Raul Vigil
• Vigilant Care Anesthesia LLC
• Vigor Integrative Wellness LLC (Vigor Integrative Wellness)

• Professional Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.