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MS. JACQUELINE DALE GRANTLAND LCPC, NCC
NPI 1316905524
Counselor - Mental Health in Lexington Park, MD

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
22776 THREE NOTCH RD STE 210, LEXINGTON PARK, MD 20653(301) 866-6333(240) 718-1906 Get Directions Write a Review

NPPES record last updated: August 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2023, Jan 29, 2023, Jul 10, 2022 (3 updates tracked since 2022).

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

NPI1316905524
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JACQUELINE DALE GRANTLANDCredential: LCPC, NCC
Location Address22776 THREE NOTCH RD STE 210Lexington Park, MD 20653-3370
Mailing AddressPo Box 1662Lexington Park, MD 20653-1662 · (301) 863-8460 · Fax (240) 718-1906
Phone(301) 866-6333
Fax(240) 718-1906
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 13, 20233 updates tracked since enumeration
NPPES CertifiedAugust 13, 2023
✔ NPI 1316905524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MD · LC4189✔ Licensed in NC · 5199
22776 THREE NOTCH RD STE 210, Lexington Park, MD 20653
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Other Identifiers 2

Medicaid6103219NC
Medicaid058356100MD

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

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.

PECOS PAC ID6406294602
PECOS Enrollment IDI20250501002735
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 7

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

TARA NICOLE BEAN
Counselor (Professional)
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333
VERONICA MARIE RIVERS LCSWC
Social Worker
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333
MS. LARREN MARICA BURGESS
Social Worker (Clinical)
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333
JULIA JOHNSON
Marriage & Family Therapist
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333
INNER PEACE THERAPEUTIC SERVICES, LLC
Counselor (Mental Health)
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333
VALERIE RAE SACHLEBEN
Counselor
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333
BRITTNI NICOLE BITTNER
Counselor (Professional)
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD 20653
St. Mary's County (301) 866-6333

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.

When was this NPI record last updated?

The NPPES record for Jacqueline Grantland was last updated on August 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.