JOLENE NIEHAUS (LCPC) – Professional Counselor, NPI 1003531195

JOLENE NIEHAUS (LCPC) is a healthcare provider. based in Eldersburg, Maryland. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. LC12812 (MD). The NPI Number for JOLENE NIEHAUS (LCPC) is 1003531195

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JOLENE NIEHAUS (LCPC)
NPI
1003531195
Phone
(410) 552-0773
Address
1311 Londontown Blvd Ste 130A
Enumeration Date
11 October 2022
Last Update Date
11 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105520773
Graduation Year
2012 (14 years ago)
PAC ID
1456709658
Group Practice PAC ID
4981649738
Professional Enrollment ID
I20240503001418
Address ID
MD211576267WE535XXPIKE405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,258 MENTAL HEALTH COUNSELOR in MD

Provider Addresses for JOLENE NIEHAUS (LCPC)

  • 1311 Londontown Blvd Ste 130A

    Eldersburg, MD 217846439

    Phone: (410) 552-0773

    Fax: (443) 200-0267

    Type: Location

  • PO BOX 1229

    SYKESVILLE, MD 217841229

    Phone: (410) 552-0773

    Fax: (443) 200-0267

    Type: Mailing

  • 535 OLD WESTMINSTER PIKE STE 106

    WESTMINSTER, MD 211576267

    Phone: (410) 552-0773

    Fax: (443) 200-0267

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240503001418IMental Health CounselorMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21784)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981649738View full group profile
NameSpecialtyState
Mental Health CounselorMD
Clinical Social WorkerTX
Mental Health CounselorMD
Nurse PractitionerMD
Mental Health CounselorMD
Clinical Social WorkerMD
-MD
Clinical Social WorkerMD
Clinical Social WorkerMD
-DC

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOLENE NIEHAUS (LCPC)?
JOLENE NIEHAUS (LCPC) — NPI 1003531195 — is the standard way to identify this listing.
Is JOLENE NIEHAUS (LCPC) still practicing?
JOLENE NIEHAUS (LCPC) is currently listed as active in the public NPI registry.
What is JOLENE NIEHAUS (LCPC) best known for clinically?
Directory data describes JOLENE NIEHAUS (LCPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does JOLENE NIEHAUS (LCPC) list a practice location?
Patients near Eldersburg, Maryland may find JOLENE NIEHAUS (LCPC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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