Jacqueline Yvonne Grant, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP15015 Issued in MD

Practice address

5563 Lanier Ave
Suitland, MD 20746-6218

Phone

(434) 426-6494

Fax

(434) 426-6494

NPI assigned

May 13, 2025

Last updated

May 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1174314959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 LANIER AVE",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207466218",
            "telephone_number": "434-426-6494",
            "fax_number": "434-426-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 LANIER AVE",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207466218",
            "telephone_number": "434-426-6494",
            "fax_number": "434-426-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JACQUELINE",
        "middle_name": "YVONNE",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP15015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elodie Yenoukounme Gbeto
• Chadmer J. Givens
• Teresa Goff
• Osvaldo M Gonzalez, M.D.
• Daniel A Gozzi, MD
• Ciara Caprice Gray
• Lisa Mellisa Greene Henderson, PSY.D.
• Shannon Ashley Haines, GENETIC COUNSELOR
• Vincent Bernard Hall
• Harris and Company

• Mental Health Counselor in Suitland, MD
• Providers in Suitland, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.