Active NPI
Enola Nashoba Hastiin
- Mental Health Counselor
- Columbia, MD
National Provider Identifier
1114449386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC16487
- Practice address
- 10480 Little Patuxent Pkwy
Columbia, MD 21044-3568 - Phone
- (410) 665-5776
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC16487 | MD | Primary |
Addresses
Primary practice location
10480 Little Patuxent Pkwy
Columbia, MD 21044-3568
Mailing address
524 Kenora Dr
Millersville, MD 21108-1317
Phone (706) 945-9776
Other names 1
- Mr. Daniel Logan Dixon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC16487 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1114449386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 KENORA DR",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081317",
"telephone_number": "706-945-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10480 LITTLE PATUXENT PKWY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443568",
"telephone_number": "410-665-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTIIN",
"first_name": "ENOLA",
"middle_name": "NASHOBA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC16487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "DIXON",
"middle_name": "LOGAN",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.