Maketa Jolly, REGISTERED PSYCH

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

A01253 Issued in MD

Practice address

71 Flint Dr
North East, MD 21901-3746

Phone

(443) 945-4703

NPI assigned

Jul 27, 2007

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1639369507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FLINT DR",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013746",
            "telephone_number": "484-442-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FLINT DR",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013746",
            "telephone_number": "443-945-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "MAKETA",
        "credential": "REGISTERED PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": "A01253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Fairchild LLC (Bodhi)
• Jicha Communication Services
• John H. Reynolds, O.D., P.a.
• Gail Johnson-Miller
• Marie N Johnson, DDS
• Joseph George Kalathil
• Lynda Rae Kopishke, RN
• Manjunath Medahalli Krishnappa
• Virginia R Lanczkowski
• Anna Lastra, DPT

• School Counselor in North East, MD
• Providers in North East, MD by specialty
• School Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.