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

MS. Jacqueline Dale Grantland, LCPC, NCC

Individual provider Mental Health Counselor · NPI 1316905524

MS. Jacqueline Dale Grantland, LCPC, NCC is a Mental Health Counselor in Lexington Park, Maryland. Qualified in 2020, 6 years ago. Practices with Inner Peace Therapeutic Services LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
6
Licensed in
MD, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

22776 Three Notch Rd Ste 210
Lexington Park, MD 20653-3370
Phone: (301) 866-6333
Fax: (240) 718-1906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC4189 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5199 (NC)

Record details

NPI number1316905524
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , NCC
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESAugust 13, 2023
Certification dateAugust 13, 2023

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)
Group practice Inner Peace Therapeutic Services Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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