MEDICARE: JCR MENTAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740123850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JCR MENTAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	12501 TIMBER GROVE RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1819
Country	:	US
Telephone Number	:	667-877-5972
Fax Number	:	443-781-7692

Provider Business Practice Location Address
First Line	:	4727 OLD COURT RD
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-2347
Country	:	US
Telephone Number	:	667-877-5972
Fax Number	:	443-781-7692

Authorized Official
Title or Position	:	CO-OWNER
Name	:	CECILIA MARIETTA PARKER
Credential	:	PMHNP-BC
Telephone Number	:	667-877-5992

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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