Autumn Jerumbo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7771 Issued in MD

Practice address

6100 Radio Station Rd
La Plata, MD 20646-3314

Phone

(301) 609-9887

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1831624287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2924",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 RADIO STATION RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463314",
            "telephone_number": "301-609-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERUMBO",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Family Centered Sevices, Inc
• Demetria Jackson
• Rosalind P Jacobs, LGPC
• Nancy Jean
• Benjamin Larry Jenkins Jr., M.D.
• Orville John, D.D.S.
• Toshira Warrene Johnson Pillera
• Mikayla Johnson, LMSW
• Thornell Johnson I
• Opal Jones, LCPC

• Professional Counselor in La Plata, MD
• Providers in La Plata, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.