JACQUELYN DESHONG LMFT
NPI 1124759766
Marriage & Family Therapist in Bowie, MD

Q: What is Jacquelyn Deshong's NPI number?

The NPI number for Jacquelyn Deshong is 1124759766. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Q: What is Jacquelyn Deshong's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Deshong was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since June 23, 2022PECOS Enrolled

16701 MELFORD BLVD, BOWIE, MD 20715(844) 830-7233 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacquelyn Deshong Lmft NPPES

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

JACQUELYN DESHONG LMFT (NPI 1124759766) is an individual marriage & family therapist in Bowie, Maryland, licensed in New York (001698-01) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1124759766

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACQUELYN DESHONGCredential: LMFT

Location Address16701 MELFORD BLVDBowie, MD 20715-4305

Mailing Address4 Science ParkNew Haven, CT 06511-1962 · (844) 830-7233

Phone(844) 830-7233

Sole ProprietorNo

Enumeration DateJune 23, 2022

NPPES CertifiedJune 23, 2022

✔ NPI 1124759766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NY · 001698-01

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

16701 MELFORD BLVD, Bowie, MD 20715

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Secondary Practice Location 1

Location 1401 Park Ave SNew York, NY 10016-8808 · Phone (844) 830-7233

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Deshong Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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

IRENE BUEL

Marriage & Family Therapist

16701 MELFORD BLVD
BOWIE, MD 20715

Prince George's County (443) 569-8882

DR. TERESA MARIA GRILLO O.D.

Optometrist

16701 MELFORD BLVD, SUITE 400-#3487
BOWIE, MD 20715

Prince George's County (443) 204-3939

SHATERA HILLYER MSW

Social Worker

16701 MELFORD BLVD
BOWIE, MD 20715

Prince George's County (240) 355-0178

DR. DOVEAL GOINS PSYD

Psychologist (Clinical)

16701 MELFORD BLVD, STE 400
BOWIE, MD 20715

Prince George's County (443) 900-9957

MOBILE EYE CARE OF MARYLAND

Optometrist

16701 MELFORD BLVD, SUITE 400-#3487
BOWIE, MD 20715

Prince George's County (443) 204-3939

MRS. DANIELLE BLACK

Technician, Pathology (Phlebotomy)

16701 MELFORD BLVD
BOWIE, MD 20715

Prince George's County (301) 388-8775

GRILLO & COMPANY

Optometrist

16701 MELFORD BLVD, SUITE 400-#3487
BOWIE, MD 20715

Prince George's County (443) 204-3939

AMBER SHAUT

Student in an Organized Health Care Education/Training Program

16701 MELFORD BLVD
BOWIE, MD 20715

Prince George's County (443) 569-8882

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 Jacquelyn Deshong's NPI number?

The NPI number for Jacquelyn Deshong is 1124759766. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Jacquelyn Deshong located?

Jacquelyn Deshong practices at 16701 Melford Blvd, Bowie, MD 20715. The listed phone number is (844) 830-7233.

What is Jacquelyn Deshong's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacquelyn Deshong enrolled in Medicare?

Yes. Jacquelyn Deshong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Deshong was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.