National Provider Identifier Database

JESSICA H BASS, LCPC, LCPAT, ATR-BC – NPI #1558612010
Professional

Contact Information

JESSICA H BASS, LCPC, LCPAT, ATR-BC
8737 BROOKS DR STE 108
EASTON, MD  21601-7474
Phone: 800-867-2395
Fax: 410-443-0842
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Art Therapist 221700000X
Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for JESSICA H BASS

NPI Number 1558612010
Credentials LCPC, LCPAT, ATR-BC
Entity Individual
Enumeration date 09/25/2012
Last updated 04/23/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MD License #: ATC139
  • MD License #: LC6290
  • MD License #: LGP5307
  • MD Medicaid: 520202701
  • MD Medicaid: 609500300
  • MD Medicaid: 609550002
  • MD Other: 7840093 AETNA
  • MD Other: LM49EA BCBS LOCAL
  • MD Other: R968 BCBS-BLUES
  • MD Other: 522156095 CLAIMSBRIDGE
  • MD Other: 522156095 HEALTHSMART
  • MD Other: 259147-000 MAGELLAN BEHAVIORAL HEALTH
  • MD Other: 346646 MHN
  • MD Other: 7840093 MHNET
  • MD Other: 346646 TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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