Active NPI
Jessica Nicole Moody, LCPC, NCC, C.A.S.E.
- Professional Counselor
- Towson, MD
National Provider Identifier
1205065380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3100
- Practice address
- 8600 Lasalle Rd
Suite 634
Towson, MD 21286-1720 - Phone
- (410) 356-2007
- NPI assigned
- Jul 9, 2009
- Last updated
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3100 | MD | Primary |
Addresses
Primary practice location
8600 Lasalle Rd
Suite 634
Towson, MD 21286-1720
Mailing address
8600 Lasalle Rd
Suite 634
Towson, MD 21286-1720
Phone (410) 356-2007
Other names 1
- Jessica Nicole Cordova
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 |
|---|---|---|---|
| LC3100 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifts LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Towson, MD
- NPI 1821277849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1205065380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 LASALLE RD",
"address_2": "SUITE 634",
"city": "TOWSON",
"state": "MD",
"postal_code": "212861720",
"telephone_number": "410-356-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 LASALLE RD",
"address_2": "SUITE 634",
"city": "TOWSON",
"state": "MD",
"postal_code": "212861720",
"telephone_number": "410-356-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "LCPC, NCC, C.A.S.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2025-08-25",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CORDOVA",
"middle_name": "NICOLE",
"credential": "LCPC, NCC, C.A.S.E.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.