Individual provider Active NPI

Jessica Angel Jones, LCPC, LCADC

  • Professional Counselor
  • Waldorf, MD
National Provider Identifier
1194281295
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9950 Issued in MD
Practice address
2214 Green Arbour CT
Waldorf, MD 20602-2227
Phone
(240) 412-7616
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC9950 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA2716 MD

Addresses

Primary practice location

2214 Green Arbour CT
Waldorf, MD 20602-2227

Mailing address

2214 Green Arbour CT
Waldorf, MD 20602-2227
Phone (240) 412-7616

Other practice location 1

8501 Lasalle Rd
Towson, MD 21286
Phone (410) 337-7772 ext. 1050

Other practice location 2

3319 W Belvedere Ave
Baltimore, MD 21215-5143
Phone (443) 884-7573

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jessangelt@yahoo.com

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
LCA2716MDMDAddiction (Substance Use Disorder) Counselor
LC9950MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1194281295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 GREEN ARBOUR CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022227",
            "telephone_number": "240-412-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 GREEN ARBOUR CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022227",
            "telephone_number": "240-412-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 Lasalle Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "21286",
            "country_code": "US",
            "telephone_number": "410-337-7772 x1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3319 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155143",
            "country_code": "US",
            "telephone_number": "443-884-7573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSICA",
        "middle_name": "ANGEL",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9950",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessangelt@yahoo.com",
            "affiliation": "N",
            "address_1": "2214 Green Arbour Ct",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206022227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.