Individual provider Active NPI

Jaalah-Ai Heughan, LCPC

  • Mental Health Counselor
  • Pikesville, MD
National Provider Identifier
1891336061
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11919 Issued in MD
Practice address
4 Pomona W Apt 10
Pikesville, MD 21208-2950
Phone
(410) 900-9064
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 LC11919 MD Primary

Addresses

Primary practice location

4 Pomona W Apt 10
Pikesville, MD 21208-2950

Mailing address

4 Pomona W Apt 10
Pikesville, MD 21208-2950

Other practice location 1

10 W Madison St Ste 11
Baltimore, MD 21201-2313
Phone (443) 438-7863

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BALTIMORE

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
LC11919MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1891336061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 POMONA W APT 10",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 POMONA W APT 10",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082950",
            "telephone_number": "410-900-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 W Madison St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212012313",
            "country_code": "US",
            "telephone_number": "443-438-7863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUGHAN",
        "first_name": "JAALAH-AI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BALTIMORE",
            "affiliation": "N",
            "address_1": "4 Pomona W Apt 10",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212082950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.