Individual provider Active NPI

Jenna Darby Hirschmann, ADT

  • Addiction (Substance Use Disorder) Counselor
  • Annapolis, MD
National Provider Identifier
1164073417
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ADT2066 Issued in MD
Practice address
185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone
(443) 440-5780
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADT2066 MD Primary

Addresses

Primary practice location

185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600

Mailing address

205 Ladybug Way
Edgewater, MD 21037-2784
Phone (410) 972-5837

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

LicenseStateTypeSpecialty
ADT2066MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1164073417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LADYBUG WAY",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372784",
            "telephone_number": "410-972-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ADMIRAL COCHRANE DR STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017600",
            "telephone_number": "443-440-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHMANN",
        "first_name": "JENNA",
        "middle_name": "DARBY",
        "credential": "ADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ADT2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.