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DR. JENNIFER ANN COSTELLO D.O.
NPI 1205251139
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bethesda, MD

Active since March 01, 2014Opted out of Medicare · through May 11, 2028
4350 E WEST HWY STE 200, BETHESDA, MD 20814(301) 970-4001 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 19, 2021, Mar 11, 2021 (2 updates tracked since 2021).

About Dr. Jennifer Ann Costello D.o. NPPES

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

DR. JENNIFER ANN COSTELLO D.O. (NPI 1205251139) is an individual child & adolescent psychiatry provider in Bethesda, Maryland, licensed in Maryland (H0091257) and active in the NPI registry since March 2014. She has opted out of Medicare through May 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205251139
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JENNIFER ANN COSTELLOCredential: D.O.
Location Address4350 E WEST HWY STE 200Bethesda, MD 20814-4426
Mailing Address14612 Sturtevant RdSilver Spring, MD 20905-4455 · (540) 290-6889
Phone(301) 970-4001
Sole ProprietorYes
Enumeration DateMarch 1, 2014
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1205251139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MD · H0091257✔ Licensed in NE · 1393
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
4350 E WEST HWY STE 200, Bethesda, MD 20814
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer Ann Costello D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 11, 2026 through May 11, 2028.

Opt-Out Effective DateMay 11, 2026
Opt-Out In Effect ThroughMay 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

AMINA SEDDIQ LMSW, LGSW, MSW
Social Worker (Clinical)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4027
JANE ANNE CHEN MD
Psychiatry & Neurology (Psychiatry)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4001
CHRISTOPHER REID MD
Psychiatry & Neurology (Psychiatry)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4001
ASHLEY FERRELL WILSON LMSW, LGSW
Social Worker
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4001
VICTORIA KERR LMSW
Social Worker (Clinical)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4001
LINDA OKAI MD
Psychiatry & Neurology (Psychiatry)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4001
HOLLY GIVEN LEVINE
Nurse Practitioner (Psychiatric/Mental Health)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 970-4001
MR. KEVIN NICASTRO LMSW
Social Worker
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Montgomery County (301) 233-6917

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 Jennifer Costello's NPI number?

The NPI number for Jennifer Costello is 1205251139. It was assigned to this individual provider in the NPPES registry on March 1, 2014.

Where is Jennifer Costello located?

Jennifer Costello practices at 4350 E West Hwy Ste 200, Bethesda, MD 20814. The listed phone number is (301) 970-4001.

What is Jennifer Costello's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jennifer Costello enrolled in Medicare?

No. Jennifer Costello has opted out of Medicare through May 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Costello was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.