Active NPI
Jessica Dawn Corey, LCPC-S
- Professional Counselor
- Upper Marlboro, MD
National Provider Identifier
1891986725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3054
- Practice address
- 13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088 - Phone
- (240) 681-6000
- NPI assigned
- Aug 6, 2007
- 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 | LC3054 | MD | Primary |
Addresses
Primary practice location
13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088
Mailing address
13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088
Phone (240) 681-6000
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 |
|---|---|---|---|
| LC3054 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547337600000",
"number": "1891986725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 EDGEMEADE RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207728088",
"telephone_number": "240-681-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 EDGEMEADE RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207728088",
"telephone_number": "240-681-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "JESSICA",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LCPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2019-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.