Active NPI
Jessica H Landis
- Mental Health Counselor
- Glen Burnie, MD
National Provider Identifier
1972992501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC4998
- Practice address
- 7310 Ritchie Hwy
Suite # 1009
Glen Burnie, MD 21061-3065 - Phone
- (410) 768-5988
- Fax
- (410) 768-5989
- NPI assigned
- Jan 20, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC4998 | MD | Primary |
Addresses
Primary practice location
7310 Ritchie Hwy
Suite # 1009
Glen Burnie, MD 21061-3065
Mailing address
7310 Ritchie Hwy
Suite # 1009
Glen Burnie, MD 21061-3065
Phone (410) 768-5988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2025 through Jan 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4998 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Christian Counseling | Mental Health | Past | Accepting new patients |
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": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1972992501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY",
"address_2": "SUITE # 1009",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613065",
"telephone_number": "410-768-5988",
"fax_number": "410-768-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY",
"address_2": "SUITE # 1009",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613065",
"telephone_number": "410-768-5988",
"fax_number": "410-768-5989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "JESSICA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC4998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.