MS. JACQUELINE DALE GRANTLAND LCPC, NCC
NPI 1316905524
Counselor - Mental Health in Lexington Park, MD
About Ms. Jacqueline Dale Grantland Lcpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACQUELINE DALE GRANTLAND LCPC, NCC (NPI 1316905524) is an individual mental health provider in Lexington Park, Maryland, licensed in Maryland (LC4189) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jacqueline Dale Grantland Lcpc, Ncc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Grantland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington Park, MD 20653
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LEXINGTON PARK, MD 20653
LEXINGTON PARK, MD 20653
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 Grantland's NPI number?
The NPI number for Jacqueline Grantland is 1316905524. It was assigned to this individual provider in the NPPES registry on May 4, 2006.
Where is Jacqueline Grantland located?
Jacqueline Grantland practices at 22776 Three Notch Rd Ste 210, Lexington Park, MD 20653. The listed phone number is (301) 866-6333.
What is Jacqueline Grantland's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacqueline Grantland enrolled in Medicare?
Yes. Jacqueline Grantland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacqueline Grantland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Grantland reassigns Medicare benefits to Inner Peace Therapeutic Services, LLC (Lexington Park, 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 Jacqueline Grantland'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 Jacqueline Grantland was last updated on August 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Jacqueline Dale Grantland, LCPC, NCC · NPI 1316905524
Mental Health provider in Lexington Park, Maryland. Individual provider, active in the CMS NPPES registry since May 4, 2006.
## Identity
- **NPI:** 1316905524 (Entity type: Individual)
- **Enumerated:** May 4, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LC4189 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22776 THREE NOTCH RD STE 210, Lexington Park, MD 20653-3370
- **Phone:** (301) 866-6333 · **Fax:** (240) 718-1906
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inner Peace Therapeutic Services, LLC (NPI 1710303573, Lexington Park, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 13, 2023
- **Other identifiers:** Medicaid 6103219 (NC); Medicaid 058356100 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1316905524) · Data from the CMS NPPES public registry.