Active NPI
Jennifer Koch Rommel
- Addiction (Substance Use Disorder) Counselor
- Centreville, MD
National Provider Identifier
1972268704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2550
- Practice address
- 202 Coursevall Dr Ste 104
Centreville, MD 21617-2805 - Phone
- (443) 262-0425
- NPI assigned
- Nov 6, 2021
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2550 | MD | Primary |
Addresses
Primary practice location
202 Coursevall Dr Ste 104
Centreville, MD 21617-2805
Mailing address
1207 Old Love Point Rd
Stevensville, MD 21666-2351
Phone (410) 353-1026
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 |
|---|---|---|---|
| 2550 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1972268704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 OLD LOVE POINT RD",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662351",
"telephone_number": "410-353-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 COURSEVALL DR STE 104",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216172805",
"telephone_number": "443-262-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMMEL",
"first_name": "JENNIFER",
"middle_name": "KOCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-06",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "2550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.