Active NPI
Jennifer Hisley Sklar
- Professional Counselor
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13882
- Practice address
- 1208 E Churchville Rd
Bel Air, MD 21014-3442 - Phone
- (410) 836-4600
- NPI assigned
- Jan 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | LC13882 | MD | Primary |
Addresses
Primary practice location
1208 E Churchville Rd
Bel Air, MD 21014-3442
Mailing address
3318 Pouska Rd
Abingdon, MD 21009-3028
Phone (410) 236-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Gateway Dr
Suite 19C
Bel Air, MD 21014-4285
Phone (410) 893-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13882 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Professional | Current | Accepting new patients |
Locations
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
260 Gateway Dr
Ste 1112C
Bel Air, MD 21014
2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999
260 Gateway Dr
Ste 19C
Bel Air, MD 21014
2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone (410) 561-9497
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": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685232000000",
"number": "1962032847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 POUSKA RD",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210093028",
"telephone_number": "410-236-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E CHURCHVILLE RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143442",
"telephone_number": "410-836-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLAR",
"first_name": "JENNIFER",
"middle_name": "HISLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2023-05-28",
"certification_date": "2023-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC13882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; 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.