NPIMap

Individual provider Active NPI

Qwan Needum

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1194181065
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5230 Kelway Rd
Baltimore, MD 21239-3402
Phone
(410) 262-4822
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5230 Kelway Rd
Baltimore, MD 21239-3402

Mailing address

5230 Kelway Rd
Baltimore, MD 21239-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001131 MD Practitioner - Mental Health Counselor 7214380351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

2400 Kirk Ave
Baltimore, MD 21218-5507
Phone (410) 383-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc CurrentSince Jan 1, 2024 Accepting new patients
Total Health Care Inc. CurrentSince Jan 1, 2024 Accepting new patients
Building Lives on Community Kindness & Stewardship CurrentSince Mar 16, 2021 Accepting new patients
Building Lives on Community Kindness & Stewardship CurrentSince Mar 1, 2021 Accepting new patients
Total Health Care Inc Current Accepting new patients
Total Health Care Inc Past Accepting new patients

Locations

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

2401 Liberty Heights Ave
Baltimore, MD 21215
Phone (410) 233-1088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Organizations & group practices 11

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1194181065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 KELWAY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 KELWAY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393402",
            "telephone_number": "410-262-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDUM",
        "first_name": "QWAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.