Jennifer Andrews Dudderar, MS, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2561 Issued in MD

Practice address

5710 Executive Dr
Suite 105
Catonsville, MD 21228-1759

Phone

(410) 744-8422

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Merge LLC

  • Professional Counselor
  • Catonsville, MD
  • NPI 1255531406
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1114107224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281759",
            "telephone_number": "410-744-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281759",
            "telephone_number": "410-744-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDERAR",
        "first_name": "JENNIFER",
        "middle_name": "ANDREWS",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Barahona & Zuniga
• DRS. Ginsberg, Simon, and Shroff Partnership
• DRS. McGhee and Hurwitz,P.a.
• DRS. Miller & Madden, P.a.
• DRS. Reisinger & St.Martin, LLC
• Ashley Dumais, LCSW-C
• Eustace Obiajulu Dunn
• David Lee Dunnigan, M.D.
• Kelly Dutcher, LCSW-C
• Kristin Marie Dye, CRNP

• Mental Health Counselor in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.