Emery Jefferies, LGSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

609588 Issued in MD

Practice address

1400 Mercantile LN
#232
Largo, MD 20774-5341

Phone

(301) 583-0001

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Winners Choice Healthcare Services, LLCGroup PAC ID 9436521366, 3 clinicians

PCC LTDGroup PAC ID 0042306201, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PCC LTD

  dba Pasadena Center for Counseling

  • Clinical Social Worker
  • Pasadena, MD
  • NPI 1275615338
  Medicare reassignment Care Compare group NPD
• Winners Choice Healthcare Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aberdeen, MD
  • NPI 1295303451
  Medicare reassignment Care Compare group NPD
• Community Counseling & Mentoring Services, Inc

  • Clinic/Center
  • Largo, MD
  • NPI 1306881057
  NPD (past)
• Community Counseling & Mentoring Services,Inc

  • Clinic/Center
  • Largo, MD
  • NPI 1942462049
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1265709364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "#232",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-583-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "#232",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-583-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "EMERY",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "609588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thelma Paulette Jackson-Austin, LCSW-C, LICSW
• Mia Jackson, LCSW-C
• Michelle Dianne Jackson, PT
• Glen Mirandilla Jacob, MD
• Frances Antionette James, LCSW-C
• Raymond Jefferies
• Shawnte Jefferies
• Susan E Jenkins, M.D
• Elisabeth Jiang, MD
• John W Bedeau, MD PC

• Mental Health Counselor in Largo, MD
• Providers in Largo, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.

Verify at the official NPI Registry.