Jessica Rothbaum, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP6821 Issued in MD

Practice address

10005 Old Columbia Rd
L260
Columbia, MD 21046-1702

Phone

(443) 259-0400

NPI assigned

May 17, 2016

Last updated

May 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1750738001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 OGDEN ST NW",
            "address_2": "APT 530",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101239",
            "telephone_number": "317-432-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD",
            "address_2": "L260",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461702",
            "telephone_number": "443-259-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBAUM",
        "first_name": "JESSICA",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.