Jam LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3682 Issued in MD

Legal business name

JAM LLC

Practice address

12809 10TH St
Bowie, MD 20720-3652

Phone

(240) 507-2634

NPI assigned

Sep 26, 2014

Organization subpart

No

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

Authorized official

Name

Keith A Thompson, LCPC

Title

Therapist

Phone

(240) 507-2634

Specialties & licenses 2

Addresses

Other names 1

• JAM LLC Doing business as

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1699178236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6111",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207926111",
            "telephone_number": "240-507-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 10TH ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203652",
            "telephone_number": "240-507-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "240-507-2634",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAM LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kadie Ballah Jalloh, CRNP
• Kariatu Jalloh
• Khadija Bambay Jalloh
• Mariama Jalloh
• Mohamed Chernor Jalloh
• Hannah Jambawai
• James Presant
• Joy Jamgbadi
• Jaroma Distinct Care Inc
• Jaroma Distinct Care Inc

• Professional Counselor in Bowie, MD
• Providers in Bowie, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.