Individual provider Active NPI

Stephanie Merle James

  • Professional Counselor
  • Jarrettsville, MD
National Provider Identifier
1982029088
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3772 Issued in MD
Practice address
1522 N Bend Rd
Jarrettsville, MD 21084-1332
Phone
(410) 409-5973
NPI assigned
Feb 26, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3772 MD Primary

Addresses

Primary practice location

1522 N Bend Rd
Jarrettsville, MD 21084-1332

Mailing address

1522 N Bend Rd
Jarrettsville, MD 21084-1332
Phone (410) 409-5973

Other names 1

  • Stephanie James Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240504000047 MD Practitioner - Mental Health Counselor 0143660399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1118 B Baldwin Mill Rd
Jarrettsville, MD 21084-1910
Phone (410) 409-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3772MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie James Professional CurrentSince Feb 19, 2024 Accepting new patients

Locations

1118 Baldwin Mill Rd
#B
Jarrettsville, MD 21084
Phone (410) 409-5973

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1982029088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 N BEND RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841332",
            "telephone_number": "410-409-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N BEND RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841332",
            "telephone_number": "410-409-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "STEPHANIE",
        "middle_name": "MERLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JAMES",
            "credential": "NCP, LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jarrettsville, MD

Sources for this page

Verify at the official NPI Registry.