Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Kang, LCPC

Individual provider Professional Counselor · NPI 1063021798

Jacqueline Kang, LCPC is a Mental Health Counselor in Olney, Maryland. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

3425 Emory Church Rd
Olney, MD 20832-2613
Phone: (443) 267-2507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6922 Muncaster Mill Rd, Rockville, MD 20855-1546 — (443) 267-2507

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC16793 (MD)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1063021798
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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