Active NPI
Jennifer Dorsey, LPC, LCPC, CAC-I
- Mental Health Counselor
- Ellicott City, MD
National Provider Identifier
1225793227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC7727
- Practice address
- 4810 Ellicott Woods LN
Ellicott City, MD 21043-6765 - Phone
- (240) 753-5792
- NPI assigned
- Nov 3, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC14339 | DC | |
| Mental Health Counselor | 101YM0800X | LC7727 | MD | Primary |
Addresses
Primary practice location
4810 Ellicott Woods LN
Ellicott City, MD 21043-6765
Mailing address
4810 Ellicott Woods LN
Ellicott City, MD 21043-6765
Phone (240) 753-5792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 6, 2026 through May 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14339 | DC | MD | Mental Health Counselor |
| LC7727 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1225793227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 ELLICOTT WOODS LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436765",
"telephone_number": "240-753-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 ELLICOTT WOODS LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436765",
"telephone_number": "240-753-5792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "JENNIFER",
"credential": "LPC, LCPC, CAC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC14339",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC7727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.