Organization Active NPI

Essential Therapeutic Perspectives, Inc

  • Community/Behavioral Health Agency
  • Landover, MD
National Provider Identifier
1174713358
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ESSENTIAL THERAPEUTIC PERSPECTIVES, INC
Practice address
8240 Professional PL Ste 200
Landover, MD 20785-2215
Phone
(301) 577-4440
Fax
(301) 577-4123
NPI assigned
Jul 25, 2007
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Mrs. Mary Gerald Jacquet, LCSWCNPI 1194915702
Title
Chief Executive Officer
Phone
(301) 577-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8240 Professional PL Ste 200
Landover, MD 20785-2215

Mailing address

8240 Professional PL Ste 200
Landover, MD 20785-2215
Phone (301) 577-4440

Other identifiers 1

IdentifierTypeStateIssuer
407076300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Essential Therapeutic Perspective2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8100 Professional Pl
Ste 205
Landover, MD 20785

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1174713358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 PROFESSIONAL PL STE 200",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207852215",
            "telephone_number": "301-577-4440",
            "fax_number": "301-577-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 PROFESSIONAL PL STE 200",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207852215",
            "telephone_number": "301-577-4440",
            "fax_number": "301-577-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL THERAPEUTIC PERSPECTIVES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "JACQUET",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-577-4440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407076300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.