Individual provider Active NPI

Jessica Annette Hurst

  • Professional Counselor
  • Hunt Valley, MD
National Provider Identifier
1578892691
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3269 Issued in MD
Practice address
11350 McCormick Road
Executive Plaza 1 Suite 800
Hunt Valley, MD 21031
Phone
(410) 800-2169
Fax
(410) 777-8742
NPI assigned
Dec 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3269 MD Primary

Addresses

Primary practice location

11350 McCormick Road
Executive Plaza 1 Suite 800
Hunt Valley, MD 21031

Mailing address

11350 McCormick Road
Executive Plaza 1 Suite 800
Hunt Valley, MD 21031
Phone (410) 800-2169

Other names 1

  • Jessica Annette Siebert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119002686 MD Practitioner - Mental Health Counselor 4688026149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oic Counseling Services, Inc.Group PAC ID 3375718950, 8 clinicians
Balance Point Wellness LLCGroup PAC ID 9931521556, 36 clinicians

Practice addresses (Care Compare)

336 S Main St
Suite 1C
Bel Air, MD 21014-3978
Phone (410) 836-0820

7658 Belair Rd
Nottingham, MD 21236-4020
Phone (410) 800-2169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3269MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oic Counseling Services, Inc. CurrentSince Feb 15, 2026 Accepting new patients
Balance Point Wellness, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

5820 York Rd
Ste 201
Baltimore, MD 21212
Phone (410) 365-0693

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

336 S Main St
Ste 1C
Bel Air, MD 21014
Phone (410) 836-0820

11350 McCormick Rd
Ste 800
Hunt Valley, MD 21031
Phone (410) 261-6199

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1578892691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1 SUITE 800",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-800-2169",
            "fax_number": "410-777-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1 SUITE 800",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-800-2169",
            "fax_number": "410-777-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "JESSICA",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-19",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SIEBERT",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.