Active NPI
Janet Callwood Jackson
- Professional Counselor
- Bowie, MD
National Provider Identifier
1235434416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3767
- 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, 2024
- 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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14205 | DC | MD | Professional Counselor |
| LC3767 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.