Active NPI
Niquelle Jett, LPC
- Mental Health Counselor
- Crofton, MD
National Provider Identifier
1477254373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 200001486
- Practice address
- 1004 Simsbury CT
Crofton, MD 21114-1661 - Phone
- (301) 326-5145
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 200001486 | DC | Primary |
Addresses
Primary practice location
1004 Simsbury CT
Crofton, MD 21114-1661
Mailing address
1004 Simsbury CT
Crofton, MD 21114-1661
Phone (301) 326-5145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200001486 | DC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mbi Health Services LLC | Current | Accepting new patients |
Locations
4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320
7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348
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.
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1396048070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1477254373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SIMSBURY CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141661",
"telephone_number": "301-326-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 SIMSBURY CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141661",
"telephone_number": "301-326-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETT",
"first_name": "NIQUELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "200001486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.