Jacob Elias Singer, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

24139 Issued in MD

Practice address

6707 Whitestone Rd Ste 106
Gwynn Oak, MD 21207-4140

Phone

(410) 265-8737

NPI assigned

Apr 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1396309209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD STE 106",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074140",
            "telephone_number": "410-265-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD STE 106",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074140",
            "telephone_number": "410-265-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGER",
        "first_name": "JACOB",
        "middle_name": "ELIAS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "24139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24139",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HopeHealthSystems",
            "affiliation": "N",
            "address_1": "6707 Whitestone Rd Ste 106",
            "city": "Gwynn Oak",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212074140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jasmin Shabazz, CNA
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• Beverly Carol Smith, LCSW
• Raven Spady, LCSW-C
• Stefani Spells

• Mental Health Counselor in Gwynn Oak, MD
• Providers in Gwynn Oak, 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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.