JESSICA JEFFERS


Address: 649 209th St, Pasadena, MD 21122-1427
Phone: 4437436544

JESSICA JEFFERS (NPI# 1669079299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669079299
Entity Type Individual
Full Name JESSICA JEFFERS
Credential LGPC
Practice Address 649 209th St
Pasadena
MD 21122-1427
Practice Telephone 4437436544
Mailing Telephone 4437436544
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LGP10281 MD Behavioral Health & Social Service Providers

Office Location

Street Address 649 209TH ST
City PASADENA
State MD
Zip Code 21122-1427

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1740889211 Hyunji Lee Pharmacist 8107 Governor Ritchie Highway, Pasadena, MD 21122 2020-10-25
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1730649922 Barrett Arthur Tollenger Counselor 2825 Mountain Road, Suite 204, Pasadena, MD 21122 2019-03-22
1750849543 Bradley J Spoon Counselor 8028 Ritchie Highway St. 312, Pasadena, MD 21122 2019-03-11
1366916553 Brittney Byrd Behavior Technician 7759 Middlegate Ct, Pasadena, MD 21122 2019-01-22
1780154310 Amanda Ann Zeller Speech-Language Pathologist 8515 Jenkins Road, Pasadena, MD 21122 2018-11-27
1225531544 Anne Arundel-sca Surgicenter, LLC Clinic/Center 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 2018-03-13
1629577424 Anne Arundel Physician Group, LLC Obstetrics & Gynecology 18 Magothy Beach Road Suite A, Pasadena, MD 21122 2018-02-07
1063968261 Chinedu Ikpemo Pharmacist 8051 Fort Smallwood Rd, Pasadena, MD 21122 2016-08-28
1053728634 Wisecare, LLC Clinic/Center 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 2014-07-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407453350 Jessie Ann Crabtree Counselor 8021 Gov Ritchie Hwy, Pasadena, MD 21122-1047 2020-10-05
1235745118 Richard S Richardson Counselor 146 Harkness Ave, Pasadena, CA 91106-2007 2020-09-16
1467067363 Kimberley Clayton Blaine Counselor 1443 E Washington Blvd Ste 185, Pasadena, CA 91104-2650 2020-09-09
1679185409 Rodriguez Counseling Counselor 2106 Buchanan St, Pasadena, TX 77502-3927 2020-08-22
1992317796 Carole M Lewis Counselor 515 Bonita Ave, Pasadena, CA 91107-5142 2020-08-21
1124637129 Madeline Myers Counselor 3100f Mountain Rd., Pasadena, MD 21122-2018 2020-07-26
1366003279 John Sovec Counselor 16 N Marengo Ave Ste 318, Pasadena, CA 91101-1971 2019-06-23
1750849543 Bradley J Spoon Counselor 8028 Ritchie Highway St. 312, Pasadena, MD 21122 2019-03-11
1215404868 Jesus Montelongo-cortez Counselor 3315 Burke Rd Ste 105, Pasadena, TX 77504-1873 2018-10-31
1407330715 Treasure Gutierrez Counselor 2650 E Foothill Blvd # 119, Pasadena, CA 91107-3439 2018-09-21
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Competitor

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City PASADENA
Zip Code 21122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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