Active NPI
Jabari Douglas
- Mental Health Counselor
- Waldorf, MD
National Provider Identifier
1881560456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 33647
- Practice address
- 10647 Cheryl Turn
Waldorf, MD 20603-6915 - Phone
- (301) 257-4967
- NPI assigned
- Oct 13, 2025
- Last updated
- Oct 24, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 33647 | MD | Primary |
Addresses
Primary practice location
10647 Cheryl Turn
Waldorf, MD 20603-6915
Mailing address
10647 Cheryl Turn
Waldorf, MD 20603-6915
Phone (301) 257-4967
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33647 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1881560456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10647 CHERYL TURN",
"city": "WALDORF",
"state": "MD",
"postal_code": "206036915",
"telephone_number": "301-257-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10647 CHERYL TURN",
"city": "WALDORF",
"state": "MD",
"postal_code": "206036915",
"telephone_number": "301-257-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "JABARI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-24",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "33647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
- Kelly-Anne Dooley, P.A.
- Kara Lynn Dorsey, PT, DPT
- Terence Hammond Dorsey, RBT
- Catherine S Doughty, PA-C
- Douglas Avery & Associates LTD (NovaCare Rehabilitation)
- Monica Douglas, LGPC, NCC
- Badriya Yasmeen Dowe, CRNA
- Dr Alvani and Associates
- Dr. Arthur B. Sorkin, D.D.S., LLC
- Dr. Darrell Adrian Clark D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.