Jerrilyn Everlisa Jana Fabien

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP16200 Issued in MD

Practice address

6301 Whistlers PL
Waldorf, MD 20603-4361

Phone

(832) 708-9321

NPI assigned

Apr 2, 2026

Sex

Female

Sole proprietor

Yes

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

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.

• Rehab2Wellness LLC

  • Mental Health Counselor
  • Fort Washington, MD
  • NPI 1104624329
  NPD Authorized official

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1114868239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 WHISTLERS PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034361",
            "telephone_number": "832-708-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 WHISTLERS PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034361",
            "telephone_number": "832-708-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIEN",
        "first_name": "JERRILYN",
        "middle_name": "EVERLISA JANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP16200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Deal Vision Center, LLC.
• Eze Family Health Center, Inc.
• Chinyere Ngozi Eze, PA-C
• Onyinye Jane Ezekwu, RPH
• F&M Behavioral Healthcare Services
• Fabulous Weave , LLC
• Eleanor Court Faherty, M.D.
• Faith and Healing Counseling LLC
• Faith and Healing Counseling LLC
• Family Meds Inc

• Mental Health Counselor in Waldorf, MD
• Providers in Waldorf, 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 Apr 2, 2026; 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.