Active NPI
Jasmine Lasha Hodges
- Counselor
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP12574
- Practice address
- 1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485 - Phone
- (410) 838-9500
- NPI assigned
- May 23, 2022
- Last updated
- Nov 24, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP12574 | MD | Primary |
| Professional Counselor | 101YP2500X | LC15868 | MD |
Addresses
Primary practice location
1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Mailing address
4451 Telfair Blvd Apt 3062
Suitland, MD 20746-5254
Phone (210) 787-9972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
77 E Main St
Suite 302
Westminster, MD 21157-5055
Phone (410) 893-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12574 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Professional | Current | Accepting new patients |
Locations
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
14456 Old Mill Rd
Ste 101
Upper Marlboro, MD 20772
77 E Main St
Ste 302
Westminster, MD 21157
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1750029500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4451 TELFAIR BLVD APT 3062",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207465254",
"telephone_number": "210-787-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E CHURCHVILLE RD STE 300",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143485",
"telephone_number": "410-838-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "JASMINE",
"middle_name": "LASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP12574",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC15868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.