Active NPI
Jeanne S Centofanti, LCPC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1164811345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP5908
- Practice address
- 5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344 - Phone
- (240) 384-3442
- Fax
- (720) 428-2956
- NPI assigned
- Jan 12, 2015
- 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 | LGP5908 | MD | Primary |
Addresses
Primary practice location
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Mailing address
6196 Oxon Hill Rd Ste 340
Oxon Hill, MD 20745-3134
Phone (410) 736-8704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP5908 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Family Matters of Greater Washington | Past | Accepting new patients | |
| Family Matters of Greater Washington | Past | Accepting new patients |
Locations
5100 Buckeystown Pike
Ste 250
Frederick, MD 21704
Phone (301) 321-8245
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Community/Behavioral Health Agency
- Oxon Hill, MD
- NPI 1336689165
-
- Community/Behavioral Health Agency
- Oxon Hill, MD
- NPI 1457736555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1164811345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 OXON HILL RD STE 340",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453134",
"telephone_number": "410-736-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 BUCKEYSTOWN PIKE STE 250",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217048344",
"telephone_number": "240-384-3442",
"fax_number": "720-428-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTOFANTI",
"first_name": "JEANNE",
"middle_name": "S",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP5908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Central Maryland Eye Associates
- Central Maryland Eye Associates, P.C.
- Central Maryland Surgical Center
- Centrepointe Counseling
- Centrepointe Counseling, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.