Jessica Donovan, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC5701 Issued in MD

Practice address

8615 Ridgelys Choice Dr
Suite # 212
Nottingham, MD 21236-3026

Phone

(410) 529-2151

NPI assigned

Jun 13, 2014

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Renewal Counseling Center, Inc

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1417086737
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1780098178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "address_2": "SUITE # 212",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-529-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "address_2": "SUITE # 212",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-529-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Direct Home Nurturing, LLC
• Sharon P Dlhosh, MD, MPH
• Ivy Tuyet Nhi DO
• Doctors First Professional Corporation
• Cara Melissa Dolan, LCSW-C
• Katrina C. Dorsey
• Khrystian Dorsey
• Michael Anthony Doughty, D.P.M.
• Dove Podiatry PA
• Dower Personnel Services LLC

• Mental Health Counselor in Nottingham, MD
• Providers in Nottingham, 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 Jun 13, 2014; 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.