Sibao Lynell Dunham

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC15929 Issued in MD

Practice address

5464 Whitlock Rd
Baltimore, MD 21229-1020

Phone

(443) 739-5242

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sibao Sargent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole-Listic Wellness Therapy

  • Mental Health Counselor
  • Oakland, MD
  • NPI 1215756614

  Multi-Specialty

  NPD Authorized official
• Healing Hearts Carroll LLC

  • Clinical Social Worker
  • Westminster, MD
  • NPI 1396437216

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1023710282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 WHITLOCK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291020",
            "telephone_number": "443-739-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 WHITLOCK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291020",
            "telephone_number": "443-739-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Englar Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211572927",
            "country_code": "US",
            "telephone_number": "410-294-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "SIBAO",
        "middle_name": "LYNELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIBAO",
            "last_name": "SARGENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Dunford, OT
• Shanae Dungee
• Alexandra Miller Dunham, MD
• Patricia Christine Dunham, MD
• Serena Dunham
• Kelly L Dunkleberger, OT
• Kisha Dunkley, PHARMD
• Amanda Dunlap, CRNP
• Charles T Dunlap
• Dyanne Dunlap, LGSW

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.