JEMMA CHONG QUI (NPI# 1114261450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114261450 |
Entity Type | Individual |
Full Name | JEMMA CHONG QUI |
Credential | LCADC, MA |
Practice Address |
5224 Harford Rd Ste B Baltimore MD 21214-2694 |
Practice Telephone | 4437083206 |
Mailing Telephone | 4347083206 |
Enumeration Date | 2012-11-26 |
Last Update Date | 2019-08-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101Y00000X | Counselor | LCADC | MD | Behavioral Health & Social Service Providers |
Y | 101Y00000X | Counselor | LCA390 | MD | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCADC | MD | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
LCADC | MD | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
LCADC | MD | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 1114261450 | 05 | |
MD | 1063066397 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5005 Morello Rd, Baltimore, MD 212142121 | 4435306533 | |
5010 York Rd, Baltimore, MD 212124444 | 4104332200 | |
5224 Harford Rd, Suite B, Baltimore, MD 21214 | 4103039229 | |
5224 Harford Rd, Suite B, Baltimore, MD 21214 | 4437083206 | 4437083289 |
5224 Harford Rd Ste B, Baltimore, MD 212142694 | 4435306533 | |
8114 Sandpiper Cir Ste 205, Nottingham, MD 212365902 | 4434855473 | 8883620278 |
Street Address |
5224 HARFORD RD STE B |
City | BALTIMORE |
State | MD |
Zip Code | 21214-2694 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063066397 | Jems Counseling and Clinical Supervision Services LLC | Clinic/Center | 5224 Harford Rd Ste B, Baltimore, MD 21214-2694 | 2019-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811544034 | Emani Williams | Behavior Technician | 4606 Walker Avenue, Baltimore, MD 21214 | 2019-08-22 |
1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
1528432143 | Beverly Jean Tellis | Social Worker | 6310 Harford Road, Baltimore, MD 21214 | 2015-11-19 |
1972848745 | Amy M Young | Occupational Therapist | 5908 Edna Ave, Baltimore, MD 21214 | 2012-12-05 |
1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
1891975918 | Karen Schmidt | Occupational Therapist | 604 Hartford Rd., Baltimore, MD 21214 | 2007-11-06 |
1972790533 | Patricia Mary Marchetti Smith | Speech-Language Pathologist | 2709 Woodsdale Avenue, Baltimore, MD 21214 | 2007-09-27 |
1780896290 | Scott David Hubert | Dentist | 5810 Harford Rd, Baltimore, MD 21214 | 2007-05-04 |
Find all providers in zip 21214 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023629375 | Dlls & T | Counselor | 6609 Reisterstown Rd Ste 205, Baltimore, MD 21215-2634 | 2020-08-11 |
1609333061 | Elizabeth A Rich | Counselor | 1190 W Northern Pkwy Apt 503, Baltimore, MD 21210-1454 | 2019-02-21 |
1235694308 | Martin Weishaar | Counselor | 911 W 36th St Ste 1, Baltimore, MD 21211-2445 | 2019-02-04 |
1871074252 | Moshe Markowitz P.a. | Counselor | 3709 Bancroft Rd, Baltimore, MD 21215-2701 | 2018-08-24 |
1295220747 | Clair Grace Louise Minson | Counselor | 5406 Fairlawn Ave, Baltimore, MD 21215-4310 | 2018-06-27 |
1952816993 | Rabinowitz Counseling Services, LLC | Counselor | 104 Church Ln Ste 105, Baltimore, MD 21208-3786 | 2017-12-13 |
1487183083 | At Your Best Behavioral Health Group LLC | Counselor | 1704 Ashburton St, Baltimore, MD 21216-3535 | 2017-06-07 |
1841733813 | Jewel Wilson | Counselor | 3607 Rosedale Rd, Baltimore, MD 21215-7428 | 2016-11-23 |
1033567540 | Wanda Peele | Counselor | 302 Mount Holly St, Baltimore, MD 21229-2923 | 2016-05-25 |
1396119160 | Ronald Hill | Counselor | 5848 Belair Rd # B, Baltimore, MD 21206-2659 | 2015-11-17 |
Find all providers in BALTIMORE |
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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.