Individual provider Active NPI

Jane Spell, LCPC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1689921371
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3896 Issued in MD
Practice address
884 Chesterfield Rd
Annapolis, MD 21401-7049
Phone
(410) 263-0222
Fax
(410) 569-0094
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3896 MD Primary

Addresses

Primary practice location

884 Chesterfield Rd
Annapolis, MD 21401-7049

Mailing address

1179 Double Chestnut CT
Chestnut Hill Cove, MD 21226-2219
Phone (410) 263-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3896MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Professional CurrentSince Oct 1, 2024 Accepting new patients

Locations

108 Old Solomons Island Rd
Ste U5
Annapolis, MD 21401

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1689921371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 DOUBLE CHESTNUT CT",
            "city": "CHESTNUT HILL COVE",
            "state": "MD",
            "postal_code": "212262219",
            "telephone_number": "410-263-0222",
            "fax_number": "410-569-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 CHESTERFIELD RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017049",
            "telephone_number": "410-263-0222",
            "fax_number": "410-569-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELL",
        "first_name": "JANE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.