Individual provider Active NPI

Jessica Leigh Lastner, LGPC

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1386218972
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP11409 Issued in MD
Practice address
306 N Market St Apt 2-1
Frederick, MD 21701-5337
Phone
(240) 446-3238
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP11409 MD Primary

Addresses

Primary practice location

306 N Market St Apt 2-1
Frederick, MD 21701-5337

Mailing address

306 N Market St Apt 2-1
Frederick, MD 21701-5337
Phone (240) 446-3238

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251219003689 MD Practitioner - Mental Health Counselor 9436644093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Change Therapy Now LLCGroup PAC ID 4284010117, 8 clinicians

Practice addresses (Care Compare)

21 Byte CT
Suite G
Frederick, MD 21702-8724
Phone (301) 846-7872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP11409MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Change Therapy Now LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1386218972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MARKET ST APT 2-1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015337",
            "telephone_number": "240-446-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MARKET ST APT 2-1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015337",
            "telephone_number": "240-446-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTNER",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.