Active NPI
Jennifer Metlen, LGPC
- Counselor
- Leonardtown, MD
National Provider Identifier
1730652157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP9098
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGP9098 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Clinic CT PLLC | Current | 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.
-
- Mental Health Counselor
- Leonardtown, MD
- NPI 1245687482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.