Active NPI
Jena Shane Cottreau, LGPC, NCC
- Counselor
- Silver Spring, MD
National Provider Identifier
1124632112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP10751
- Practice address
- 10000 Colesville Rd
Silver Spring, MD 20901-2335 - Phone
- (404) 483-3298
- NPI assigned
- Sep 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP10751 | MD | Primary |
Addresses
Primary practice location
10000 Colesville Rd
Silver Spring, MD 20901-2335
Mailing address
9000 Old Dominion Dr
MC Lean, VA 22102-1014
Phone (404) 483-3298
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 |
|---|---|---|---|
| LGP10751 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1124632112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 OLD DOMINION DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221021014",
"telephone_number": "404-483-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 COLESVILLE RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209012335",
"telephone_number": "404-483-3298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTREAU",
"first_name": "JENA",
"middle_name": "SHANE",
"credential": "LGPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP10751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.