Individual provider Active NPI

Janet Callwood Jackson

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1235434416
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3767 Issued in MD
Practice address
6915 Laurel Bowie Rd Ste 204
Bowie, MD 20715-1715
Phone
(240) 476-1450
NPI assigned
Jan 19, 2011
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 PRC14205 DC
Professional Counselor 101YP2500X LC3767 MD Primary

Addresses

Primary practice location

6915 Laurel Bowie Rd Ste 204
Bowie, MD 20715-1715

Mailing address

13304 Katrinka Dr
Bowie, MD 20720-4733
Phone (240) 476-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512004616 DC Practitioner - Mental Health Counselor 1951870534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13304 Katrinka Dr
Bowie, MD 20720-4733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC14205DCMDProfessional Counselor
LC3767MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J Callwood & Associates Professional Current Accepting new patients

Locations

6915 Laurel Bowie Rd
Ste 204
Bowie, MD 20715
Phone (240) 476-1450

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.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1235434416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 KATRINKA DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204733",
            "telephone_number": "240-476-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD STE 204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151715",
            "telephone_number": "240-476-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLWOOD JACKSON",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14205",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.