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

Active since May 30, 2017PECOS Enrolled
1040 PARK AVE STE 200, BALTIMORE, MD 21201(443) 738-0300(443) 738-0301 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jun 16, 2021, Nov 4, 2019 and 1 more (4 updates tracked since 2017).

About Mrs. Jacqueline Ejim Lcpc NPPES

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

MRS. JACQUELINE EJIM LCPC (NPI 1861920282) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC7848) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861920282
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JACQUELINE EJIMCredential: LCPC
Location Address1040 PARK AVE STE 200Baltimore, MD 21201-5634
Mailing Address1040 Park Ave Ste 200Baltimore, MD 21201-5634 · (443) 738-0300 · Fax (443) 738-0301
Phone(443) 738-0300
Fax(443) 738-0301
Sole ProprietorYes
Enumeration DateMay 30, 2017
Last NPPES UpdateOctober 6, 20254 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1861920282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC7848
1040 PARK AVE STE 200, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Ejim Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CARRIE A. JONECKIS PA-C
Physician Assistant (Medical)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300
ELIZABETH ANNE GILLIAMS MD
Internal Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300
DR. ANIKA ADERO HARDIE ALVANZO MD, MS
Internal Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300
ABSOLUTECARE OF BALTIMORE, LLC
Family Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300
DR. VISHAL SETHI M.D
Internal Medicine (Infectious Disease)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300
VIANCA J MASUCCI MD
Internal Medicine
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300
NIMITA SHARMA PHARM.D
Pharmacist (Ambulatory Care)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0240
CAROL GAREY LCSW-C
Social Worker (Clinical)
1040 PARK AVE STE 200
BALTIMORE, MD 21201
Baltimore City (443) 738-0300

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 Ejim's NPI number?

The NPI number for Jacqueline Ejim is 1861920282. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Jacqueline Ejim located?

Jacqueline Ejim practices at 1040 Park Ave Ste 200, Baltimore, MD 21201. The listed phone number is (443) 738-0300.

What is Jacqueline Ejim's specialty?

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

Is Jacqueline Ejim enrolled in Medicare?

Yes. Jacqueline Ejim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Ejim was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.