Individual provider Active NPI

Jan Kreh, M.S.

  • Professional Counselor
  • Ellicott City, MD
National Provider Identifier
1083814925
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1527 Issued in MD
Practice address
3300 N Ridge Rd
Suite 110
Ellicott City, MD 21043-3383
Phone
(410) 750-3330
Fax
(410) 750-3332
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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 LC1527 MD Primary

Addresses

Primary practice location

3300 N Ridge Rd
Suite 110
Ellicott City, MD 21043-3383

Mailing address

3300 N Ridge Rd
Suite 110
Ellicott City, MD 21043-3383
Phone (410) 750-3330

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC1527MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Metro Maryland Counseling Ctr PastSince Jan 22, 1992 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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1083814925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N RIDGE RD",
            "address_2": "SUITE 110",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433383",
            "telephone_number": "410-750-3330",
            "fax_number": "410-750-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N RIDGE RD",
            "address_2": "SUITE 110",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433383",
            "telephone_number": "410-750-3330",
            "fax_number": "410-750-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREH",
        "first_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.