Jacob Anjum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

113 West Rd.
Ste. 202a
Baltimore, MD 21204-2300

Phone

(410) 337-3697

Fax

(410) 321-0580

NPI assigned

Jun 2, 2019

Last updated

Jun 2, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ja Healthcare Services, LLC

  • Mental Health Counselor
  • Towson, MD
  • NPI 1467305854
  NPD Authorized official
• Ja Healthcare Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
  • NPI 1134790975
  NPD
• Ja Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Towson, MD
  • NPI 1538727870

  Mental Health

  NPD

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1457919797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WEST RD.",
            "address_2": "STE. 202A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042300",
            "telephone_number": "410-211-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WEST RD.",
            "address_2": "STE. 202A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042300",
            "telephone_number": "410-337-3697",
            "fax_number": "410-321-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-02",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eman Anis Daoud
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• Jennifer Sumbilla Anisko, C.R.N.P
• Clara Anizoba, MD
• Anjelo Mida Inc
• Mohammed Talha Anjum
• Michael Alan Ankrom, M.D.
• Anna Finkler DDS LLC
• Akshaya Vijaya Annapragada
• Abhijith Annasamudram

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, 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 Jun 2, 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.