Active NPI
Jachael Holmes-Enriquez
- Mental Health Counselor
- Hyattsville, MD
National Provider Identifier
1609459809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8181 Professional PL Ste 200
Hyattsville, MD 20785-7219 - Phone
- (301) 306-4590
- NPI assigned
- May 4, 2021
- 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 | Primary |
Addresses
Primary practice location
8181 Professional PL Ste 200
Hyattsville, MD 20785-7219
Mailing address
514 Short Curve Rd
Glen Burnie, MD 21061-5143
Phone (240) 472-3388
Other practice location 1
4901 Collington Rd
Bowie, MD 20715-2537
Phone (301) 805-2660
Other names 1
- Jachael Holmes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interdynamics, Inc. | Current | Accepting new patients | |
| Interdynamics, Inc. | Past | Accepting new patients |
Locations
8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590
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.
-
- Psychiatry Physician
- Landover, MD
- NPI 1952570343
-
- Community/Behavioral Health Agency
- Landover, MD
- NPI 1770135261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1609459809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 SHORT CURVE RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615143",
"telephone_number": "240-472-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8181 PROFESSIONAL PL STE 200",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207857219",
"telephone_number": "301-306-4590"
}
],
"practiceLocations": [
{
"address_1": "4901 Collington Rd",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207152537",
"country_code": "US",
"telephone_number": "301-805-2660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES-ENRIQUEZ",
"first_name": "JACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2023-07-31",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACHAEL",
"last_name": "HOLMES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.