Healthcare Provider Details

I. General information

NPI: 1689505265
Provider Name (Legal Business Name): JENNY SEMANTA STANCELL MA, LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9750 APOLLO DRIVE B29
UPPER MARLBORO MD
20774
US

IV. Provider business mailing address

3798 RAISNER CT
WHITE PLAINS MD
20695-3427
US

V. Phone/Fax

Practice location:
  • Phone: 301-328-1771
  • Fax: 240-540-5371
Mailing address:
  • Phone: 301-328-1771
  • Fax: 240-540-5371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17914
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: