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

Mrs. Jamice Amanda Holley, LGPC

Individual provider Mental Health Counselor · NPI 1306470141

Mrs. Jamice Amanda Holley, LGPC is a Mental Health Counselor in Crofton, Maryland. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1612 Professional Blvd Ste A
Crofton, MD 21114-2049
Phone: (301) 875-5429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LC13761 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence LC13761 (MD)
Professional Counselor Taxonomy 101YP2500X · Licence LC13761 (MD)

Record details

NPI number1306470141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorYes
NPI enumeratedMarch 2, 2020
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crofton