JESSICA RANELL ANDERSON
NPI 1205537248
Counselor in Nottingham, MD

Q: What is Jessica Anderson's NPI number?

The NPI number for Jessica Anderson is 1205537248. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Q: What is Jessica Anderson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Anderson was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 16, 2023PECOS EnrolledAccepts Medicare Assignment

5022 CAMPBELL BLVD STE L-M, NOTTINGHAM, MD 21236(410) 406-0109 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 7, 2024, Mar 16, 2023 (2 updates tracked since 2023).

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About Jessica Ranell Anderson NPPES

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

JESSICA RANELL ANDERSON (NPI 1205537248) is an individual counselor in Nottingham, Maryland, licensed in Maryland (LC17834) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205537248

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJESSICA RANELL ANDERSON

Location Address5022 CAMPBELL BLVD STE L-MNottingham, MD 21236-4969

Mailing Address5022 Campbell Blvd Ste L-mNottingham, MD 21236-4969 · (410) 406-0109

Phone(410) 406-0109

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 16, 2023

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1205537248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MD · LC17834

Definition

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.

5022 CAMPBELL BLVD STE L-M, Nottingham, MD 21236

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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 and accepts Medicare assignment

Jessica Ranell Anderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365908324

PECOS Enrollment IDI20260729004915

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 20

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

NICOLE MARIE ZELL LGPC

Counselor