Active NPI
Robert Arnold Jarrett III, LCPC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1053684902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC4076
- Practice address
- 3630 Hineline Rd
Baltimore, MD 21229-5148 - Phone
- (443) 414-4552
- NPI assigned
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC4076 | MD | Primary |
Addresses
Primary practice location
3630 Hineline Rd
Baltimore, MD 21229-5148
Mailing address
3630 Hineline Rd
Baltimore, MD 21229-5148
Phone (443) 414-4552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
59 Kate Wagner Rd
Westminster, MD 21157-6957
Phone (410) 848-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4076 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll County Youth Service Bureau, Inc. | Current | Accepting new patients |
Locations
59 Kate Wagner Rd
Westminster, MD 21157
Phone (410) 596-1755
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westminster, MD
- NPI 1710042924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1053684902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 HINELINE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295148",
"telephone_number": "443-414-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 HINELINE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295148",
"telephone_number": "443-414-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "ROBERT",
"middle_name": "ARNOLD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC4076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.