Individual provider Active NPI

Erica Patrice Jones, LGPC

  • Professional Counselor
  • White Marsh, MD
National Provider Identifier
1730831777
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP11916 Issued in MD
Practice address
5430 Campbell Blvd Ste 113
White Marsh, MD 21162-5503
Phone
(410) 931-5010
NPI assigned
Jan 20, 2022
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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 LGP11916 MD Primary

Addresses

Primary practice location

5430 Campbell Blvd Ste 113
White Marsh, MD 21162-5503

Mailing address

5802 Gist Ave
Baltimore, MD 21215-3528
Phone (443) 985-0681

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://erica.marylandcounselingassociates.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGP11916MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1730831777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 GIST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153528",
            "telephone_number": "443-985-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD STE 113",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625503",
            "telephone_number": "410-931-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERICA",
        "middle_name": "PATRICE",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://erica.marylandcounselingassociates.com/",
            "affiliation": "N",
            "endpointDescription": "employee web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5430 Campbell Blvd Ste 113",
            "city": "White Marsh",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211625503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Marsh, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.