Organization Active NPI

JPP, L.C.

  • Adult Mental Health Clinic/Center
  • Glenelg, MD
National Provider Identifier
1649091745
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JPP, L.C.
Practice address
3881 Ten Oaks Rd Ste 2a
Glenelg, MD 21737-9761
Phone
(443) 520-1005
Fax
(410) 489-4475
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
James Peter Piffath, LCPCNPI 1316383060
Title
Owner
Phone
(443) 520-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3881 Ten Oaks Rd Ste 2a
Glenelg, MD 21737-9761

Mailing address

5667 Columbia Rd Apt 202
Columbia, MD 21044-1977
Phone (443) 520-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528000984 MD Part B Supplier - Clinic/Group Practice 8123460847 Receives reassigned benefits from 1 practitioner
Practice locations: Glenelg, MD

National Provider Directory

National Provider Directory

Locations

3881 10 Oaks Rd
Ste 2A
Glenelg, MD 21737
Phone (443) 520-1005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1649091745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 COLUMBIA RD APT 202",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441977",
            "telephone_number": "443-520-1005",
            "fax_number": "410-489-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 TEN OAKS RD STE 2A",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379761",
            "telephone_number": "443-520-1005",
            "fax_number": "410-489-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPP, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PIFFATH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-520-1005",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenelg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.