Jacqueline Patricia Garoz, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP11826 Issued in MD

Practice address

9029 Shady Grove CT
Gaithersburg, MD 20877-1301

Phone

(240) 489-1108

NPI assigned

Aug 25, 2021

Last updated

Aug 25, 2021By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 26, 2024 through Feb 26, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ponciano Counseling and Wellness, LLC

  dba Vertex Counseling and Wellness

  • Mental Health Counselor
  • Germantown, MD
  • NPI 1457828105
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1861169039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 CROSSWOOD TER",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661362",
            "telephone_number": "301-357-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "240-489-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROZ",
        "first_name": "JACQUELINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11826",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LGP11826",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Gardiner
• Kshama Garg, M.D.
• Kathryn Gargett, LCPC
• Zinabu Tekle Gari, MD
• Robbie Benita Garland
• Stacey Anderson Garrett, MD
• Brandie Beth Garry, DACM, BSN, LPN, LAC
• Amy H Gates, LCSW-C
• Brittany Gates
• Daziya Gattis

• Professional Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.