Jacqueline Kravetz, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC0885 Issued in MD

Practice address

16031 Comprint Cir
Gaithersburg, MD 20877-1320

Phone

(301) 502-5028

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 26, 2024 through Feb 26, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jackie.kravetz.p3@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: jackie.kravetz.p1@direct.mcg-hhs.nextgenshare.com

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.

• Jackie Kravetz Counseling Services LLC

  • Professional Counselor
  • Gaithersburg, MD
  • NPI 1689390411
  NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1619902137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16031 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771320",
            "telephone_number": "301-502-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16031 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771320",
            "telephone_number": "301-502-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVETZ",
        "first_name": "JACQUELINE",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.