Jades Counseling and Mental Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JADES COUNSELING AND MENTAL HEALTH SERVICES

Practice address

5914 Winner Ave
Baltimore, MD 21215-3815

Phone

(443) 622-5541

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Burris

Title

Credentialer

Phone

(443) 350-2092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1891529293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 WINNER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153815",
            "telephone_number": "443-622-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 WINNER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153815",
            "telephone_number": "443-622-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADES COUNSELING AND MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "443-350-2092",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Jacques, M.D.
• Louis Bernard Jacques, M.D.
• Jade ABA Therapy LLC
• Jade Health & Wellness, LLC
• Shilpa Naren Jadeja, MD
• Anshruta Jadhav
• Ruchita Ruturaj Jadhav, MBBS
• Shamily Jadhav
• J. Roedel Jaeger, DDS
• Behnam Jafarpour, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.