JESSICA H LANDIS (NPI# 1972992501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972992501 |
| Entity Type | Individual |
| Full Name | JESSICA H LANDIS |
| Practice Address |
7310 Ritchie Hwy Suite # 1009 Glen Burnie MD 21061-3065 |
| Practice Telephone | 4107685988 |
| Practice Fax Number | 4107685989 |
| Mailing Telephone | 4107685988 |
| Mailing Fax Number | 4107685989 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC4998 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162533 | Jessica Landis | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-03-03 |
| 1013401678 | Jessica Landis | Behavior Technician | 3428 W Market St, Fairlawn, OH 44333 | 2018-06-18 |
| 1629354196 | Jessica G Landis | Social Worker | 1008 N Main St, Sikeston, MO 63801-5044 | 2011-10-28 |
| Street Address |
7310 RITCHIE HWY SUITE # 1009 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021112 | Lisa Antoinette Horton | Pediatrics | 7310 Ritchie Hwy, Suite 516, Glen Burnie, MD 21061-3065 | 2006-02-11 |
| 1528508983 | Time Organization, Inc. | Community/Behavioral Health | 7310 Ritchie Hwy, Glen Burnie, MD 21061-3065 | 2017-03-06 |
| 1528508371 | Time Organization | Community/Behavioral Health | 7310 Ritchie Hwy, Suite 100, Glen Burnie, MD 21061-3065 | 2017-02-27 |
| 1568904167 | David Michael Bell | Social Worker | 7310 Ritchie Hwy, Suite 1009, Glen Burnie, MD 21061-3065 | 2016-11-14 |
| 1578929873 | Matthew Hutzel | Physical Therapist | 7310 Ritchie Hwy, Suite 500, Glen Burnie, MD 21061-3065 | 2016-01-04 |
| 1114398575 | Enoch Samraj | Physical Therapist | 7310 Ritchie Hwy, Ste 500, Glen Burnie, MD 21061-3065 | 2015-10-12 |
| 1992186860 | Child & Adult Behavioral Health, LLC | Nurse Practitioner | 7310 Ritchie Hwy, Suite 406, Glen Burnie, MD 21061-3065 | 2015-06-16 |
| 1205228848 | Michael Morrone | Physical Therapist | 7310 Ritchie Hwy, Suite 615, Glen Burnie, MD 21061-3065 | 2015-02-18 |
| 1437558160 | Alicia Hess | Physical Therapist | 7310 Ritchie Hwy, Glen Burnie, MD 21061-3065 | 2014-08-19 |
| 1841699873 | Cristina Boogaart | Physical Therapist | 7310 Ritchie Hwy, 500, Glen Burnie, MD 21061-3065 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069781 | Danielle Flores | Counselor | 337 Gatewater Ct Apt 203, Glen Burnie, MD 21060-7389 | 2020-09-30 |
| 1851904635 | Storm Emerson | Counselor | 1410 Crain Hwy N Ste 2b, Glen Burnie, MD 21061-9304 | 2020-08-31 |
| 1659910651 | Sherri Monique Joynes | Counselor | 478 Norvelle Ct, Glen Burnie, MD 21061-6121 | 2019-12-23 |
| 1023550746 | Allison Tate Pastine | Counselor | 7401 Ritchie Hwy, Glen Burnie, MD 21061-3101 | 2016-11-11 |
| 1295187540 | Grace M. Abraham Lewis | Counselor | 8043 Winding Wood Rd Apt 14, Glen Burnie, MD 21061-6539 | 2016-07-11 |
| 1508119421 | Andrew M Sacchetti | Counselor | 804 Landmark Dr Ste 118, Glen Burnie, MD 21061-4486 | 2012-10-16 |
| 1518255736 | Mary M Schwartz | Counselor | 7202 Mockingbird Cir, Glen Burnie, MD 21060-8327 | 2011-07-21 |
| 1851589923 | Deidre Renee Everist | Counselor | 1406b Crain Hwy S Ste 301, Glen Burnie, MD 21061-4094 | 2007-10-13 |
| 1174648307 | People Encouraging People, Inc. | Counselor | 2301 Dorsey Rd Ste 200, Glen Burnie, MD 21061-3275 | 2007-03-20 |
| 1053920686 | Becky Tatani | Counselor | 7207 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-2684 | 2020-07-29 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on JESSICA H LANDIS.
| 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.