Active NPI
Jennifer Jane Wilson, LCPC
- Counselor
- Annapolis, MD
National Provider Identifier
1952543498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC1539
- Practice address
- 2001 Medical Pkwy
Annapolis, MD 21401-3773 - Phone
- (443) 481-1000
- NPI assigned
- Mar 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC1539 | MD | Primary |
Addresses
Primary practice location
2001 Medical Pkwy
Annapolis, MD 21401-3773
Mailing address
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Counseling Center, LLC | Past | Accepting new patients | |
| Oasis the Mental Health Center, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oasis Behavioral Health Urgent Care
- Psychiatry Physician
- Glen Burnie, MD
- NPI 1174606057
DC
-
dba Orchard Mental Health Group
- Psychiatry Physician
- Rockville, MD
- NPI 1336670389
DC
-
- Clinical Psychologist
- Glen Burnie, MD
- NPI 1376616938
-
- Psychiatric/Mental Health Nurse Practitioner
- Annapolis, MD
- NPI 1467309138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1952543498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013773",
"telephone_number": "443-481-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013773",
"telephone_number": "443-481-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JENNIFER",
"middle_name": "JANE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-30",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC1539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.