Active NPI
Amanda Jaska, LCPC
- Professional Counselor
- Hunt Valley, MD
National Provider Identifier
1083974778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3807
- Practice address
- 11311 McCormick Rd
Suite 350
Hunt Valley, MD 21031-1004 - Phone
- (443) 849-8200
- NPI assigned
- May 29, 2012
- 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 | LC3807 | MD | Primary |
Addresses
Primary practice location
11311 McCormick Rd
Suite 350
Hunt Valley, MD 21031-1004
Mailing address
11311 McCormick Rd
Suite 350
Hunt Valley, MD 21031-1004
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 |
|---|---|---|---|
| LC3807 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1083974778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11311 MCCORMICK RD",
"address_2": "SUITE 350",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11311 MCCORMICK RD",
"address_2": "SUITE 350",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311004",
"telephone_number": "443-849-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKA",
"first_name": "AMANDA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.