Les A Binnix, PMHNP, LPCMH

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lusby, MD

NPI 1124206271 · NPPES record last updated Oct 12, 2022

Key facts

NPI
1124206271
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
R241003 (MD)
Practice address
685 Carlsbad CT
Lusby, MD 20657-4822
Phone
(818) 438-8548
Fax
(410) 630-3690
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3378 S Amherst Hwy
PO Box 833
Monroe, VA 24574

6188 Oxon Hill Rd
Suite 500
Oxon Hill, MD 20745-3136

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260612003632 DC Practitioner - Nurse Practitioner 1850863523 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PC0000419DEMDMental Health Counselor
PMH1280FLMDMental Health Counselor
R241003MDMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PMH1280 FL
Mental Health Counselor 101YM0800X PC0000419 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R241003 MD Yes

Addresses

Primary practice location

685 Carlsbad CT
Lusby, MD 20657-4822

Mailing address

685 Carlsbad CT
Lusby, MD 20657-4822
Phone (818) 438-8548

Other providers in Lusby, MD

All providers in Lusby, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.