Individual provider Active NPI

Jennifer Noel Cary, L.C.P.C.

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1871633644
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC-1955 Issued in MD
Practice address
9841 Broken Land Pkwy Ste 211
Columbia, MD 21046-3068
Phone
(443) 708-5856
NPI assigned
Feb 8, 2007
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC-1955 MD Primary

Addresses

Primary practice location

9841 Broken Land Pkwy Ste 211
Columbia, MD 21046-3068

Mailing address

3566 Lowlen CT
Ellicott City, MD 21042-3855
Phone (443) 413-3928

Other practice location 1

3566 Lowlen Ct
Ellicott City, MD 21042-3855
Phone (443) 413-3928

Other identifiers 3

IdentifierTypeStateIssuer
0701006080OtherVACOMMONWEALTH OF VA BOARD OF COUNSELING
LC-1955OtherMDBOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
PRC14625OtherDCDOH, HEALTH REGULATION AND LICENSING ADMIN, BOARD OF PROFESSIONAL COUNSELING

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
LC-1955MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gladstone Psychiatry and Wellness PastSince Jan 2, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1871633644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 LOWLEN CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423855",
            "telephone_number": "443-413-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 BROKEN LAND PKWY STE 211",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463068",
            "telephone_number": "443-708-5856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3566 Lowlen Ct",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423855",
            "country_code": "US",
            "telephone_number": "443-413-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARY",
        "first_name": "JENNIFER",
        "middle_name": "NOEL",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC-1955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VA BOARD OF COUNSELING",
            "identifier": "0701006080",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "LC-1955",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH, HEALTH REGULATION AND LICENSING ADMIN, BOARD OF PROFESSIONAL COUNSELING",
            "identifier": "PRC14625",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "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 Jan 18, 2022; 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.