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JACQUELINE KANG LCPC
NPI 1063021798
Counselor - Professional in Olney, MD

Active since July 28, 2020PECOS Enrolled
3425 EMORY CHURCH RD, OLNEY, MD 20832(443) 267-2507 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Jul 28, 2020 (2 updates tracked since 2020).

About Jacqueline Kang Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE KANG LCPC (NPI 1063021798) is an individual professional provider in Olney, Maryland, licensed in Maryland (LC16793) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063021798
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE KANGCredential: LCPC
Location Address3425 EMORY CHURCH RDOlney, MD 20832-2613
Mailing Address18100 Hayloft DrDerwood, MD 20855-1668 · (301) 908-5270
Phone(443) 267-2507
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2020
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1063021798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC16793
3425 EMORY CHURCH RD, Olney, MD 20832
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Kang Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264924000
PECOS Enrollment IDI20251119004565
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MIN ZHU
Counselor
3425 EMORY CHURCH RD
OLNEY, MD 20832
Montgomery County (800) 491-5369
EMILY E MARCH LGMFT
Marriage & Family Therapist
3425 EMORY CHURCH RD
OLNEY, MD 20832
Montgomery County (240) 801-5671
CENTREPOINTE COUNSELING, INC.
Counselor (Pastoral)
3425 EMORY CHURCH RD
OLNEY, MD 20832
Montgomery County (800) 491-5369
SAFE HARBOR CHRISTIAN COUNSELING DC METRO
Social Worker (Clinical)
3425 EMORY CHURCH RD
OLNEY, MD 20832
Montgomery County (410) 569-9497
ELIZABETH M AITKEN LCPC
Counselor (Professional)
3425 EMORY CHURCH RD
OLNEY, MD 20832
Montgomery County (240) 863-2739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Kang's NPI number?

The NPI number for Jacqueline Kang is 1063021798. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Jacqueline Kang located?

Jacqueline Kang practices at 3425 Emory Church Rd, Olney, MD 20832. The listed phone number is (443) 267-2507.

What is Jacqueline Kang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Kang enrolled in Medicare?

Yes. Jacqueline Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Kang was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.