Barth, Jason Michael

Barth, Jason Michael is an individual health care provider with primary practice located at 7902 Fingerboard Rd Bldg C , Frederick MD 21704-7629. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Barth, Jason Michael can be contacted via phone (301) 874-4701.

Contact Information

Primary practice address
7902 Fingerboard Rd Bldg C Frederick MD 21704-7629
Phone: (301) 874-4701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC 1447 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC 1447 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC 1447 Maryland

Profile Details

NPI number 1528177573
LBN Legal business name Barth, Jason Michael
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528177573 NPPES
Maryland MEDICAID 402961500

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