Active NPI
Jane Spell, LCPC
- Professional Counselor
- Annapolis, MD
National Provider Identifier
1689921371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3896
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3896 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.