Active NPI
Kendra D Jeffers, LCPC
- Professional Counselor
- Rockville, MD
National Provider Identifier
1871860973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4208
- Practice address
- 5880 Hubbard Dr
Rockville, MD 20852-4821 - Phone
- (301) 237-5346
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4208 | MD | Primary |
Addresses
Primary practice location
5880 Hubbard Dr
Rockville, MD 20852-4821
Mailing address
PO Box 1066
Washington Grove, MD 20880-1066
Phone (301) 237-5346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-3729156 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 E 33Rd St
Baltimore, MD 21218-3780
Phone 71829843753780
4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4208 | MD | MD | Professional Counselor |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1871860973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1066",
"city": "WASHINGTON GROVE",
"state": "MD",
"postal_code": "208801066",
"telephone_number": "301-237-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524821",
"telephone_number": "301-237-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "KENDRA",
"middle_name": "D",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45-3729156",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.