Organization Active NPI

Guidelines Counseling Program

  • Addiction (Substance Use Disorder) Counselor
  • Frederick, MD
National Provider Identifier
1851582944
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
101990 Issued in MD
Legal business name
GUIDELINES COUNSELING PROGRAM
Practice address
306 Delaware Rd
Frederick, MD 21701
Phone
(301) 846-0967
Fax
(301) 846-0443
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Ms. Jacque B Jenkins, CCDC CAC AD MD
Title
Program Director Owner
Phone
(301) 846-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 101990 MD Primary

Addresses

Primary practice location

306 Delaware Rd
Frederick, MD 21701

Mailing address

306 Delaware Rd
Frederick, MD 21701
Phone (301) 846-0967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1851582944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 DELAWARE RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-846-0967",
            "fax_number": "301-846-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 DELAWARE RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-846-0967",
            "fax_number": "301-846-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDELINES COUNSELING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR OWNER",
        "authorized_official_telephone_number": "301-846-0967",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCDC CAC AD MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "101990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.