Active NPI
Jennifer Nowell, CRC,LPC
- Professional Counselor
- Laurel, MD
National Provider Identifier
1063943496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14875
- Practice address
- 3407 Holly Creek Drive Apt 1a
Laurel, MD 20724 - Phone
- (706) 372-6720
- NPI assigned
- Mar 27, 2017
- Last updated
- Mar 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC14875 | DC | Primary |
Addresses
Primary practice location
3407 Holly Creek Drive Apt 1a
Laurel, MD 20724
Mailing address
3407 Holly Creek Dr Apt 1a
Laurel, MD 20724-5958
Phone (706) 372-6720
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 |
|---|---|---|---|
| PRC14875 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1063943496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 HOLLY CREEK DR APT 1A",
"city": "LAUREL",
"state": "MD",
"postal_code": "207245958",
"telephone_number": "706-372-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 HOLLY CREEK DRIVE APT 1A",
"city": "LAUREL",
"state": "MD",
"postal_code": "20724",
"telephone_number": "706-372-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWELL",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "CRC,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.