MRS. JACQUELINE EJIM LCPC
NPI 1861920282
Counselor - Professional in Baltimore, MD

NPI Status: Active since May 30, 2017

Contact Information

1040 PARK AVE STE 200
BALTIMORE, MD
ZIP 21201
Phone: (443) 738-0300
Fax: (443) 738-0301

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  • Individual
  • Female
  • Counselor
  • Professional
  • PECOS Enrolled

About JACQUELINE EJIM

This page provides the complete NPI Profile along with additional information for Jacqueline Ejim, a provider established in Baltimore, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1861920282 assigned on May 2017. The practitioner's primary taxonomy code is 101YP2500X with license number LC7848 (MD). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1861920282
Provider Name
MRS. JACQUELINE EJIM LCPC
Gender
Female
Entity Type
Individual
Location Address
1040 PARK AVE STE 200 BALTIMORE, MD 21201
Location Phone
(443) 738-0300
Location Fax
(443) 738-0301
Mailing Address
1040 PARK AVE STE 200 BALTIMORE, MD 21201
Mailing Phone
(443) 738-0300
Mailing Fax
(443) 738-0301
Is Sole Proprietor?
Yes
Enumeration Date
05-30-2017
Last Update Date
10-06-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LC7848
License State
MD

Medicare Participation & PECOS Enrollment Status

Jacqueline Ejim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861920282, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 8 + 2 + 0 + 2 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1861920282.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (Case Management)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Registered Nurse (Case Management)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Clinic/Center (Federally Qualified Health Center (FQHC))
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Pharmacist (Ambulatory Care)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Family Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Internal Medicine (Infectious Disease)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Nurse Practitioner (Family)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Internal Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Emergency Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Nurse Practitioner (Family)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Family Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Physician Assistant (Medical)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Nurse Practitioner (Family)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Internal Medicine (Geriatric Medicine)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Internal Medicine (Infectious Disease)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Nurse Practitioner
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Social Worker
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Social Worker
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Family Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Counselor (Mental Health)
1040 PARK AVE STE 200
BALTIMORE, MD 21201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861920282, enumerated as an "individual" on May 30, 2017.

The provider is located at 1040 PARK AVE STE 200 BALTIMORE, MD 21201 and the phone number is (443) 738-0300.

Counselor with taxonomy code 101YP2500X and a focus in Professional.