Jacl & Associates LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JACL & ASSOCIATES LLC

Practice address

15015 Fir St
Accokeek, MD 20607-9776

Phone

(240) 523-3147

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chevon Mathews-Green, LCPCNPI 1568989127

Title

Co-Owner

Phone

(240) 523-3147

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chevon Taneik Mathews-Green, LCPC

  • Professional Counselor
  • Accokeek, MD
  • NPI 1568989127
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1609646298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 FIR ST",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206079776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 FIR ST",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206079776",
            "telephone_number": "240-523-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACL & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MATHEWS-GREEN",
        "authorized_official_first_name": "CHEVON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "240-523-3147",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn D Hollyfield, MSPT
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• Gabrielle Johnson, LGPC
• Cortney Launa Jordan
• Sheila Kelly, MS,LD
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• Mental Health Counselor in Accokeek, MD
• Providers in Accokeek, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.