Active NPI
Jessica Lauren Bosse, M.S.
- Counselor
- Towson, MD
National Provider Identifier
1689120677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1122 Kenilworth Dr
Towson, MD 21204-2139 - Phone
- (443) 841-7785
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1122 Kenilworth Dr
Towson, MD 21204-2139
Mailing address
1122 Kenilworth Dr
Towson, MD 21204-2139
Phone (443) 841-7785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 3, 2025 through Jun 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1689120677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042139",
"telephone_number": "443-841-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042139",
"telephone_number": "443-841-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSE",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.