Individual provider Active NPI

Jason Jeffery, LCPC

  • Mental Health Counselor
  • Silver Spring, MD
National Provider Identifier
1770794422
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
248 Issued in MD
Practice address
8737 Colesville Rd
Suite 700
Silver Spring, MD 20910-3928
Phone
(240) 296-5625
Fax
(301) 588-8880
NPI assigned
May 24, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 248 MD Primary

Addresses

Primary practice location

8737 Colesville Rd
Suite 700
Silver Spring, MD 20910-3928

Mailing address

6505 16TH St NW
Washington, DC 20012-2809
Phone (202) 291-9186

Other identifiers 1

IdentifierTypeStateIssuer
248MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
248MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vesta, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Vesta, Inc. Current Accepting new patients

Locations

9301 Annapolis Rd
Ste 300
Lanham, MD 20706
Phone (240) 296-5848

1202 Annapolis Rd
Ste F
Odenton, MD 21113
Phone (240) 296-1370

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, 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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1770794422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122809",
            "telephone_number": "202-291-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 COLESVILLE RD",
            "address_2": "SUITE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103928",
            "telephone_number": "240-296-5625",
            "fax_number": "301-588-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.