Jena Shane Cottreau, LGPC, NCC
Counselor in Silver Spring, MD. Individual provider (NPI-1).
NPI number1124632112
StatusActive
Last updated in NPPESSep 7, 2020
Details
- NPI
- 1124632112
- Entity type
- Individual (NPI-1)
- Name
- Jena Shane Cottreau
- Credential
- LGPC, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2020
- Certification date
- Sep 7, 2020
- Last updated
- Sep 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LGP10751 | MD | Yes |
Practice location
10000 Colesville RdSilver Spring, MD 20901-2335
Phone 404-483-3298
Mailing address
9000 Old Dominion DrMc Lean, VA 22102-1014
Phone 404-483-3298
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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