Individual provider Active NPI

Fredina Maria James, MED, LGPC

  • Professional Counselor
  • Nanjemoy, MD
National Provider Identifier
1891554499
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP14757 Issued in MD
Practice address
8305 Gilroy Rd
Nanjemoy, MD 20662-3300
Phone
(240) 437-4192
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X CER-135079-B7R2W3 MD
Professional Counselor 101YP2500X LGP14757 MD Primary

Addresses

Primary practice location

8305 Gilroy Rd
Nanjemoy, MD 20662-3300

Mailing address

8305 Gilroy Rd
Nanjemoy, MD 20662-3300
Phone (240) 437-4192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CER-135079-B7R2W3MDMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connecting the Pieces ; Mental Health Solutions, LLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

2670 Crain Hwy
Ste 510
Waldorf, MD 20601
Phone (301) 374-8772

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1891554499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 GILROY RD",
            "city": "NANJEMOY",
            "state": "MD",
            "postal_code": "206623300",
            "telephone_number": "240-437-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 GILROY RD",
            "city": "NANJEMOY",
            "state": "MD",
            "postal_code": "206623300",
            "telephone_number": "240-437-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "FREDINA",
        "middle_name": "MARIA",
        "credential": "MED, LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": "CER-135079-B7R2W3",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP14757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanjemoy, MD

Sources for this page

Verify at the official NPI Registry.