Active NPI
Jacqueline Allex, LMSW
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1992566715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 25764
- Practice address
- 940 Madison Ave Ste 202
Baltimore, MD 21201-2113 - Phone
- (443) 563-8516
- Fax
- (410) 559-5855
- NPI assigned
- Jan 18, 2024
- Last updated
- Feb 14, 2024
- 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 | 25764 | MD | Primary |
Addresses
Primary practice location
940 Madison Ave Ste 202
Baltimore, MD 21201-2113
Mailing address
940 Madison Ave Ste 202
Baltimore, MD 21201-2113
Phone (443) 563-8516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25764 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1992566715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 MADISON AVE STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012113",
"telephone_number": "443-563-8516",
"fax_number": "410-559-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 MADISON AVE STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012113",
"telephone_number": "443-563-8516",
"fax_number": "410-559-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEX",
"first_name": "JACQUELINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "25764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.