Jiazhao Xu
Individual provider Active NPI Professional Counselor · Manchester, MD
NPI 1487580734 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1487580734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 3000 Manchester Rd
Manchester, MD 21102-1850 - Phone
- (410) 861-0066
- NPI assigned
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MD | Yes |
Addresses
Primary practice location
3000 Manchester Rd
Manchester, MD 21102-1850
Mailing address
727 W 40TH St Apt 534
Baltimore, MD 21211-2354
Phone (512) 720-8470
Other names
- Mavis Xu
Other providers in Manchester, MD
- Victor R. Aybar,DPM,PA
- Bryanna Waltz
- Crystal Weise
- Melissa D. Williams
- Krista M Winslow
- Danica Marie Yerdon
- Jennifer Ziolkowski
All providers in Manchester, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.