Individual provider Active NPI

Jasmine Marie Mauss, LGMFT

  • Marriage & Family Therapist
  • Columbia, MD
National Provider Identifier
1841839701
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LGM689 Issued in MD
Practice address
10705 Charter Dr Ste 410
Columbia, MD 21044-2800
Phone
(240) 295-3116
NPI assigned
Dec 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LGM689 MD Primary

Addresses

Primary practice location

10705 Charter Dr Ste 410
Columbia, MD 21044-2800

Mailing address

10705 Charter Dr Ste 410
Columbia, MD 21044-2800
Phone (240) 295-3116

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Columbia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGM689MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1841839701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 410",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442800",
            "telephone_number": "240-295-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 410",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442800",
            "telephone_number": "240-295-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUSS",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LGMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "address_1": "10705 Charter Dr Ste 410",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.