NPIMap

Organization Active NPI

Jacob's Ladder Youth Foundation

  • Professional Counselor
  • Fort Washington, MD
National Provider Identifier
1144675430
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JACOB'S LADDER YOUTH FOUNDATION
Practice address
1616 Saratoga CT
Fort Washington, MD 20744-4186
Phone
(240) 691-3619
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mr. Jarriel Jared Jordan Sr.
Title
Director
Phone
(240) 691-3619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1616 Saratoga CT
Fort Washington, MD 20744-4186

Mailing address

1616 Saratoga CT
Fort Washington, MD 20744-4186
Phone (240) 691-3619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1144675430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SARATOGA CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444186",
            "telephone_number": "240-691-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SARATOGA CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444186",
            "telephone_number": "240-691-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S LADDER YOUTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JARRIEL",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-691-3619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.