JLG Counseling Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JLG COUNSELING SERVICES

Practice address

584 Belmawr Place
Millersville, MD 21108

Phone

(301) 512-1456

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyne Gordon, LCPCNPI 1194913665

Title

LCPC/Owner

Phone

(301) 512-1456

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelyne Gordon, LCPC

  • Professional Counselor
  • Owings, MD
  • NPI 1194913665
  NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1477152171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BELMAWR PLACE",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "301-512-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BELMAWR PLACE",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "301-512-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLG COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JACQUELYNE",
        "authorized_official_title_or_position": "LCPC/OWNER",
        "authorized_official_telephone_number": "301-512-1456",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Michael Isava, PH.D, NCSP
• Kareem Zamir Ishmail, MA, LGPC
• Tricia Marie Jackson, CRNP
• Melanie Ann Jacoby, PT
• Samantha Lorraine Kirk Jefferson, CPNP-PC
• Johns Hopkins Regional Physicians LLC (JHRP-231 Najoles Rd. Ste 460- Provider Type: 20- Physician)
• Johns Hopkins Regional Physicians LLC (JHRP-231 Najoles Rd Ste 460-Provider Type: 20 Physician)
• Ida Johnson
• Tia L Johnson, LMSW
• Selina Camille Johnston

• Adult Mental Health Clinic/Center in Millersville, MD
• Providers in Millersville, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.