Active NPI
Jennifer L Pemberton, MS LCPC
- Counselor
- Reisterstown, MD
National Provider Identifier
1437372547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC2367
- Practice address
- 100 Owings Court
Ste 8
Reisterstown, MD 21136 - Phone
- (410) 526-7100
- Fax
- (410) 526-7138
- NPI assigned
- Apr 10, 2007
- Last updated
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC2367 | MD | Primary |
Addresses
Primary practice location
100 Owings Court
Ste 8
Reisterstown, MD 21136
Mailing address
10400 Ridgland Road
Ste 1
Cockeysville, MD 21030
Phone (410) 628-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2367 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1437372547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 RIDGLAND ROAD",
"address_2": "STE 1",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "21030",
"telephone_number": "410-628-6120",
"fax_number": "410-628-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OWINGS COURT",
"address_2": "STE 8",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "21136",
"telephone_number": "410-526-7100",
"fax_number": "410-526-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC2367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.