Individual provider Active NPI

Jeanne S Centofanti, LCPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1164811345
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP5908 Issued in MD
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

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000008 DC Practitioner - Mental Health Counselor 3173005790 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LGP5908MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 20, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 20, 2026 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.

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

Sources for this page

Verify at the official NPI Registry.