JAM LLC (NPI# 1699178236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699178236 |
| Entity Type | Organization |
| Organization Name | JAM LLC |
| Other Organization Name | JAM LLC |
| Practice Address |
12809 10th St Bowie MD 20720-3652 |
| Mailing Address |
Po Box 6111 Largo MD 20792-6111 |
| Practice Telephone | 2405072634 |
| Mailing Telephone | 2405072634 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | KEITH A THOMPSON (THERAPIST) |
| Authorized Official Telephone | 2405072634 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC3682 | MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| JAM LLC | Doing Business As Name - Organization |
| Street Address |
12809 10TH ST |
| City | BOWIE |
| State | MD |
| Zip Code | 20720-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569946 | Safe Harbor Christian Counseling | Psychologist | 12809 10th St, Bowie, MD 20720-3652 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
| 1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
| 1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
| 1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
| Find all providers in zip 20720 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869484 | Autism Community Enterprises, Inc | Counselor | 16604 Peach St, Bowie, MD 20716-3526 | 2020-04-09 |
| 1578101523 | Michelle Durham | Counselor | 12504 Keynote Ln, Bowie, MD 20715-2746 | 2019-12-19 |
| 1275184301 | Harold Raul Dawkins | Counselor | 14632 London Ln, Bowie, MD 20715-2572 | 2019-09-20 |
| 1679128557 | Brian Bailey | Counselor | 15201 Jenkins Ridge Rd, Bowie, MD 20721-7256 | 2019-08-07 |
| 1417413253 | Demitri Kornegay | Counselor | 12805 Vicar Woods Ln, Bowie, MD 20720-4770 | 2019-02-18 |
| 1336622059 | Amy Winiecki | Counselor | 4201 Northview Dr # 104, Bowie, MD 20716-2604 | 2018-09-09 |
| 1396225264 | Patricia Morgan Cooper | Counselor | 2825 Bosworth Ln, Bowie, MD 20715-2402 | 2018-08-20 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1528563376 | Cynthia Hunter | Counselor | 5429 Lakeford Ln, Bowie, MD 20720-4855 | 2018-03-26 |
| 1679075576 | Marcella Louise Debose | Counselor | 15957 Alameda Dr, Bowie, MD 20716-1384 | 2018-03-06 |
| Find all providers in BOWIE | ||||
Please comment or provide details below to improve the information on JAM LLC.
| 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.