Active NPI
Jennifer Lynn Richardson
- Mental Health Counselor
- Mardela Springs, MD
National Provider Identifier
1558013284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 27740
- Practice address
- 23704 Ocean Gtwy
Mardela Springs, MD 21837-2101 - Phone
- (410) 677-0202
- NPI assigned
- Jan 24, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 27740 | MD | Primary |
Addresses
Primary practice location
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Mailing address
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Phone (410) 677-0202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27740 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1558013284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23704 OCEAN GTWY",
"city": "MARDELA SPRINGS",
"state": "MD",
"postal_code": "218372101",
"telephone_number": "410-677-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23704 OCEAN GTWY",
"city": "MARDELA SPRINGS",
"state": "MD",
"postal_code": "218372101",
"telephone_number": "410-677-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "27740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mardela Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.