Jessica Ann Vickers, LCPC, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA3253 Issued in MD

Practice address

145 E Main St
Elkton, MD 21921-5917

Phone

(443) 203-9850

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Akena Counseling & Wellness, LLC

  • Mental Health Counselor
  • Elkton, MD
  • NPI 1437907912

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1609223734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HOPEWELL DR",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013334",
            "telephone_number": "443-203-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215917",
            "telephone_number": "443-203-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14779",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA3253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520202700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317849800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vargha Abbasian DDS, PC
• Vivek Kumar Varma, M.D.
• Nadiya Vazquez
• Marbel Veira, LMSW
• Thomas Louis Velotti, DPM
• Vanessa Villar, MD
• Deborah Marie Vrankin, PT
• Linda Vrooman, PT
• Robin Susan Waddell, CRNP
• Louise Whelchel Wagner, RN,MSN,CS-P

• Addiction (Substance Use Disorder) Counselor in Elkton, MD
• Providers in Elkton, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.