Active NPI
Barbara Ann Jaquette, MSW
- Pastoral Counselor
- Ellicott City, MD
National Provider Identifier
1144455841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- G04934
- Practice address
- 3604 Chatham Rd
Ellicott City, MD 21042-3920 - Phone
- (410) 234-9734
- NPI assigned
- May 25, 2009
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | G04934 | MD | Primary |
Addresses
Primary practice location
3604 Chatham Rd
Ellicott City, MD 21042-3920
Mailing address
10425 Eastwood Ave
Silver Spring, MD 20901-1904
Phone (301) 593-2875
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 |
|---|---|---|---|
| G04934 | MD | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243209600000",
"number": "1144455841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10425 EASTWOOD AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011904",
"telephone_number": "301-593-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 CHATHAM RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423920",
"telephone_number": "410-234-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAQUETTE",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-25",
"last_updated": "2009-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MD",
"license": "G04934",
"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 May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.