Individual provider Active NPI

Jennifer Metlen, LGPC

  • Counselor
  • Leonardtown, MD
National Provider Identifier
1730652157
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP9098 Issued in MD
Practice address
41650 Courthouse Dr Unit 301
Leonardtown, MD 20650-3893
Phone
(301) 690-0779
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP9098 MD Primary

Addresses

Primary practice location

41650 Courthouse Dr Unit 301
Leonardtown, MD 20650-3893

Mailing address

23650 Coventry Dr
Leonardtown, MD 20650-5859
Phone (484) 653-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623002841 VA Practitioner - Mental Health Counselor 9234641515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

1806 Summit Ave
300 199
Richmond, VA 23230-4339
Phone (415) 343-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP9098MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Clinic CT PLLC CurrentSince Apr 15, 2025 Accepting new patients
Empowered Connections, LLC Past Accepting new patients

Locations

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

1806 Summit Ave
#300199
Richmond, VA 23230
Phone (415) 343-5839

Organizations & group practices 2

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1730652157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23650 COVENTRY DR",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505859",
            "telephone_number": "484-653-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41650 COURTHOUSE DR UNIT 301",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503893",
            "telephone_number": "301-690-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METLEN",
        "first_name": "JENNIFER",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP9098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.