JIMMY DOUGLAS II
NPI 1831670405
Counselor - Professional in Columbia, MD

Q: What is Jimmy Douglas's NPI number?

The NPI number for Jimmy Douglas is 1831670405. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Q: What is Jimmy Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Douglas was last updated on March 6, 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.

Active since August 22, 2018

9191 CARRIAGE HOUSE LN, COLUMBIA, MD 21045(512) 554-4375 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Aug 22, 2018 (2 updates tracked since 2018).

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About Jimmy Douglas Ii NPPES

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

JIMMY DOUGLAS II (NPI 1831670405) is an individual professional provider in Columbia, Maryland, licensed in Maryland (LC11605) and active in the NPI registry since August 2018. He maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1831670405

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJIMMY DOUGLAS II

Location Address9191 CARRIAGE HOUSE LNColumbia, MD 21045-4077

Mailing Address9191 Carriage House LnColumbia, MD 21045-4077 · (512) 554-4375

Phone(512) 554-4375

Sole ProprietorNo

Enumeration DateAugust 22, 2018

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1831670405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MD · LC11605✔ Licensed in MD · LGP8560

9191 CARRIAGE HOUSE LN, Columbia, MD 21045

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Secondary Practice Location 1

Location 11900 N Howard St Ste 300Baltimore, MD 21218-5909 · Phone (443) 438-6742 · Fax (443) 773-5624

Other Identifiers 1

Medicaid38-3876389MD

Other Providers at the Same Location NPPES

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

TO BECOME ONE COUNSELING, LLC

Counselor (Professional)

9191 CARRIAGE HOUSE LN
COLUMBIA, MD 21045

Howard County (512) 554-4375

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 Jimmy Douglas's NPI number?

The NPI number for Jimmy Douglas is 1831670405. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Jimmy Douglas located?

Jimmy Douglas practices at 9191 Carriage House Ln, Columbia, MD 21045. The listed phone number is (512) 554-4375.

What is Jimmy Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jimmy Douglas was last updated on March 6, 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.