Active NPI
Cynthia Carolette Jones
- Professional Counselor
- Bowie, MD
National Provider Identifier
1063896140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC6163
- Practice address
- 6120 Gothic LN
Bowie, MD 20720-5305 - Phone
- (301) 456-5066
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC14698 | DC | |
| Professional Counselor | 101YP2500X | LC6163 | MD | Primary |
Addresses
Primary practice location
6120 Gothic LN
Bowie, MD 20720-5305
Mailing address
3754 Silver Park CT
Suitland, MD 20746-3039
Phone (301) 778-8391
Other names 1
- Cynthia Carolette Jones
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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14698 | DC | MD | Professional Counselor |
| LC6163 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Peace & Clarity Psychotherapy LLC | Professional | Current | Accepting new patients |
Locations
16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776
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": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1063896140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3754 SILVER PARK CT",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207463039",
"telephone_number": "301-778-8391",
"fax_number": "240-712-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 GOTHIC LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207205305",
"telephone_number": "301-456-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CYNTHIA",
"middle_name": "CAROLETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14698",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "JONES",
"middle_name": "CAROLETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.