Active NPI
Jessica Angel Jones, LCPC, LCADC
- Professional Counselor
- Waldorf, MD
National Provider Identifier
1194281295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC9950
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCA2716 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC9950 | MD | MD | Professional 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.