Active NPI
Farrah Tykisia Jones, LGPC
- Professional Counselor
- Laurel, MD
National Provider Identifier
1164029468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP10346
- Practice address
- 14201 Laurel Park Dr Ste 106
Laurel, MD 20707-5203 - Phone
- (240) 360-4765
- Fax
- (240) 360-4767
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP10346 | MD | Primary |
Addresses
Primary practice location
14201 Laurel Park Dr Ste 106
Laurel, MD 20707-5203
Mailing address
8315 Crooked Pine CT
Gaithersburg, MD 20877-3793
Phone (404) 909-2670
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 |
|---|---|---|---|
| LGP10346 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1164029468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 CROOKED PINE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208773793",
"telephone_number": "404-909-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 LAUREL PARK DR STE 106",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075203",
"telephone_number": "240-360-4765",
"fax_number": "240-360-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "FARRAH",
"middle_name": "TYKISIA",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP10346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.