Jacqueline D Hamilton, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4137 Issued in MD

Practice address

16208 Penterra Way
Bowie, MD 20716-1919

Phone

(301) 996-1677

NPI assigned

Sep 10, 2018

Last updated

Mar 18, 2024By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolve Therapeutic Health and Wellness Services

  dba A New Perspective

  • Substance Abuse Rehabilitation Facility
  • Bowie, MD
  • NPI 1295351468
  NPD Authorized official
• Evolve Therapuetic Behavioral Health and Wellness Services

  • Community/Behavioral Health Agency
  • Bowie, MD
  • NPI 1538433313
  NPD Authorized official
• Evolve Therapuetic Health and Wellness Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bowie, MD
  • NPI 1013579093
  NPD Authorized official

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1629551239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16208 PENTERRA WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161919",
            "telephone_number": "301-996-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16208 PENTERRA WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161919",
            "telephone_number": "301-996-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "510345",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441512400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hycenta Ndosoh Halle, CRNP
• Alexander Halsey, PT
• Lindsey Marie Halstead, LGPC
• Nikki Poindexter Ham, L.C.P.C.
• Donald Peron Hamilton III
• Robin Hamilton, LGMFT
• Kelsey Hammons
• Hanover Assisted Living
• Esther Happi
• Edward Harbor

• Mental Health Counselor in Bowie, MD
• Providers in Bowie, 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 Mar 18, 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.