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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JARED SIDEBOTHAM CSC-AD
NPI 1972415719
Counselor - Addiction (Substance Use Disorder) in Essex, MD

Active since September 17, 2026
8909 KELSO DR, ESSEX, MD 21221(410) 469-7036 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jared Sidebotham Csc-ad NPPES

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

JARED SIDEBOTHAM CSC-AD (NPI 1972415719) is an individual addiction (substance use disorder) provider in Essex, Maryland and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1972415719
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJARED SIDEBOTHAMCredential: CSC-AD
Location Address8909 KELSO DREssex, MD 21221-3113
Mailing Address8909 Kelso DrEssex, MD 21221-3113
Phone(410) 469-7036
Sole ProprietorNo
Enumeration DateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1972415719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
8909 KELSO DR, Essex, MD 21221
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Other Providers at the Same Location NPPES 6

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

MS. PAMELLA NORVA MANNERS CAC-AD
Counselor (Addiction (Substance Use Disorder))
8909 KELSO DR
ESSEX, MD 21221
Baltimore County (410) 486-2500
DR. KEVIN DALE VINSON CSC-AD
Counselor (Addiction (Substance Use Disorder))
8909 KELSO DR
ESSEX, MD 21221
Baltimore County (410) 486-2500
MR. BRIAN ROBERT ECKER CACAD
Counselor (Addiction (Substance Use Disorder))
8909 KELSO DR
BALTIMORE, MD 21221
Baltimore County (410) 486-2500
GLASS HEALTH PROGRAMS, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
8909 KELSO DR
ESSEX, MD 21221
Baltimore County (410) 486-2500
GLASS HEALTH PROGRAMS, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
8909 KELSO DR
ESSEX, MD 21221
Baltimore County (410) 486-2500
DA'VIDA ROBERTSON
Counselor (Addiction (Substance Use Disorder))
8909 KELSO DR
ESSEX, MD 21221
Baltimore County (410) 832-6699

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 Jared Sidebotham's NPI number?

The NPI number for Jared Sidebotham is 1972415719. It was assigned to this individual provider in the NPPES registry on September 17, 2026.

Where is Jared Sidebotham located?

Jared Sidebotham practices at 8909 Kelso Dr, Essex, MD 21221. The listed phone number is (410) 469-7036.

What is Jared Sidebotham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jared Sidebotham was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.