JENNIFER CHRISTA WILLOUGHBY PH.D.
NPI 1619083110
Psychologist in Leonardtown, MD

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
41900 FENWICK ST, SUITE #1, LEONARDTOWN, MD 20650(301) 475-9660(301) 475-8810 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Christa Willoughby Ph.d. NPPES

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

JENNIFER CHRISTA WILLOUGHBY PH.D. (NPI 1619083110) is an individual psychologist in Leonardtown, Maryland, licensed in Maryland (03600) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1619083110
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER CHRISTA WILLOUGHBYCredential: PH.D.
Location Address41900 FENWICK ST, SUITE #1Leonardtown, MD 20650-3814
Mailing AddressPo Box 1608Leonardtown, MD 20650-1608 · (301) 475-9660
Fax(301) 475-8810
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 8, 2013
NPI 1619083110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 03600
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
41900 FENWICK ST, Leonardtown, MD 20650

Other Identifiers 12

Other379528MD · Geha
Other7729469MD · Aetna
Other379528MD · Mamsi
Other379528MD · Optimum Choice
Medicare UPIN182N179GMD
Medicare PIN182NMD
Other262293000MD · Magellan
Other379528MD · Mdipa
OtherB950 0007MD · Carefirst Bcbs Fep & Nca
Other379528MD · Alliance
OtherPVPB114888MD · Aps
Other517B 60718903MD · Carefirst Bcbs

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

Jennifer Christa Willoughby Ph.d. 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 ID5092704981
PECOS Enrollment IDI20040506001462
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.

Community Based Residential Treatment Facility, Mental Illness
41900 FENWICK ST, SUITE #5
LEONARDTOWN, MD 20650
Social Worker (Clinical)
41900 FENWICK ST, SUITE #1
LEONARDTOWN, MD 20650
Counselor
41900 FENWICK ST, SUITE 1
LEONARDTOWN, MD 20650
Social Worker
41900 FENWICK ST, SUITE 1
LEONARDTOWN, MD 20650
Psychologist (Cognitive & Behavioral)
41900 FENWICK ST, SUITE 1
LEONARDTOWN, MD 20650
Psychologist (Counseling)
41900 FENWICK ST
LEONARDTOWN, MD 20650
Counselor (Professional)
41900 FENWICK ST, SUITE 1
LEONARDTOWN, MD 20650
Case Manager/Care Coordinator
41900 FENWICK ST
LEONARDTOWN, MD 20650

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 Willoughby's NPI number?

The NPI number for Jennifer Willoughby is 1619083110. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Jennifer Willoughby located?

Jennifer Willoughby practices at 41900 Fenwick St Suite #1, Leonardtown, MD 20650. The listed phone number is (301) 475-9660.

What is Jennifer Willoughby's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Willoughby enrolled in Medicare?

Yes. Jennifer Willoughby 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 Jennifer Willoughby was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.