Jacqueline Ejim, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7848 Issued in MD

Practice address

1040 Park Ave Ste 200
Baltimore, MD 21201-5634

Phone

(443) 738-0300

Fax

(443) 738-0301

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

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.

• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1164138152
  Medicare reassignment NPD
• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1972597425
  Medicare reassignment NPD
• Life of Abundance Behavioral Health Services LLC

  • Mental Health Counselor
  • Dundalk, MD
  • NPI 1235773193
  NPD Authorized official
• Life of Abundance Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1881260263
  NPD Authorized official
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1700882503
  NPD
• Family Therapy Behavior Services, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1467961805
  NPD
• Total Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1992889943
  NPD
• Total Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MD
  • NPI 1225857378
  NPD

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1861920282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PARK AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015634",
            "telephone_number": "443-738-0300",
            "fax_number": "443-738-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 PARK AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015634",
            "telephone_number": "443-738-0300",
            "fax_number": "443-738-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIM",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Ejeh
• Colman Ejerenwa, NP
• Philip Chima Ejiaku
• Andargachew Ejigu
• Mercy Olunma Ejikemeh, CRNP, NP-C
• Jason Obinna Ejimogu, MD
• Felicia Ejiogu
• Ejs Drugs
• Blessing B Ekamki, PHARMD
• Ekpenyong Ekpenyong Ekanem, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.