Individual provider Active NPI

Jennifer L Razak, MGC, CGC

  • Genetic Counselor (M.S.)
  • Rockville, MD
National Provider Identifier
1740538347
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
9715 Medical Center Dr Ste 315
Rockville, MD 20850-6326
Phone
(301) 681-6772
Fax
(301) 681-2618
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X G0000038 MD
Genetic Counselor (M.S.) 170300000X 013900025 VA
Genetic Counselor (M.S.) 170300000X Primary

Addresses

Primary practice location

9715 Medical Center Dr Ste 315
Rockville, MD 20850-6326

Mailing address

7968 Hidden Bridge Dr
Springfield, VA 22153-3208
Phone (610) 608-9455

Other names 1

  • Jennifer L Weiss Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
G0000038MDMDGenetic Counselor (M.S.)
013900025VAMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Advantia DC PLLC Past Accepting new patients
Simmonds, Martin & Helmbrecht, LLC Past Accepting new patients
Maryland Physicians Edge LLC Past Accepting new patients
The Physician and Midwife Collaborative Practice Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4

Organizations & group practices 4

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1740538347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 HIDDEN BRIDGE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533208",
            "telephone_number": "610-608-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 315",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506326",
            "telephone_number": "301-681-6772",
            "fax_number": "301-681-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZAK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MGC, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MD",
            "license": "G0000038",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VA",
            "license": "013900025",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEISS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.