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MS. KISHA PARRIS JACQUES LCSW-C
NPI 1306296314
Social Worker - Clinical in Pasadena, MD

Active since June 21, 2016PECOS Enrolled
8662 PULPIT HARBOUR, PASADENA, MD 21122(718) 772-2261 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kisha Parris Jacques Lcsw-c NPPES

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

MS. KISHA PARRIS JACQUES LCSW-C (NPI 1306296314) is an individual clinical provider in Pasadena, Maryland, licensed in Maryland (14567) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306296314
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KISHA PARRIS JACQUESCredential: LCSW-C
Location Address8662 PULPIT HARBOURPasadena, MD 21122-2539
Mailing Address8662 Pulpit HarbourPasadena, MD 21122-2539 · (718) 772-2261
Phone(718) 772-2261
Sole ProprietorYes
Enumeration DateJune 21, 2016
✔ NPI 1306296314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 14567
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 14567 (MD)
8662 PULPIT HARBOUR, Pasadena, MD 21122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kisha Parris Jacques Lcsw-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Kisha Parris Jacques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bon Ridge Wellness, LLC
17 mi
Clinical
2500 N ROLLING RD STE 102
Windsor Mill, MD 21244
  • Reassigned Medicare billing, Maryland enrollment
  • 10 clinicians in this Medicare group
NPI 1922710995 (301) 571-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kisha Parris Jacques's NPI number?

The NPI number for Kisha Parris Jacques is 1306296314. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Kisha Parris Jacques located?

Kisha Parris Jacques practices at 8662 Pulpit Harbour, Pasadena, MD 21122. The listed phone number is (718) 772-2261.

What is Kisha Parris Jacques's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kisha Parris Jacques enrolled in Medicare?

Yes. Kisha Parris Jacques is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kisha Parris Jacques's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Parris Jacques reassigns Medicare benefits to Bon Ridge Wellness, LLC (Windsor Mill, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kisha Parris Jacques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kisha Parris Jacques was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.