Individual provider Active NPI

Bianca Lavonne Lee, LCPC

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1134512130
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC82222 Issued in MD
Practice address
4450 Mitchellville Rd # 1065
Bowie, MD 20716-3112
Phone
(443) 500-0630
NPI assigned
Mar 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP6188 MD
Professional Counselor 101YP2500X LC82222 MD Primary

Addresses

Primary practice location

4450 Mitchellville Rd # 1065
Bowie, MD 20716-3112

Mailing address

12213 Malta LN
Bowie, MD 20715-1811
Phone (480) 518-1336

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

LicenseStateTypeSpecialty
LC82222MDMDProfessional Counselor
LGP6188MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ribbon in the Sky Wellness Center LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

4450 Mitchellville Rd
#1065
Bowie, MD 20716
Phone (443) 500-0630

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.

NPI Registry JSON

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1134512130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12213 MALTA LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151811",
            "telephone_number": "480-518-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 MITCHELLVILLE RD # 1065",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163112",
            "telephone_number": "443-500-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BIANCA",
        "middle_name": "LAVONNE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP6188",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC82222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.