Active NPI
Lashundra R Mesumbe
- Case Manager/Care Coordinator
- Laurel, MD
National Provider Identifier
1205447828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9405 2ND St North
Laurel, MD 20723-1805 - Phone
- (256) 457-8948
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9405 2ND St North
Laurel, MD 20723-1805
Mailing address
9405 2ND St North
Laurel, MD 20723-1805
Phone (256) 457-8948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salus Health Inc | Current | Accepting new patients | |
| Infinity Quality Care Systems | Mental Health | Past | Accepting new patients |
| Healthy Connections | Past | Accepting new patients |
Locations
1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Baltimore, MD
- NPI 1285244004
-
- Adult Mental Health Clinic/Center
- Rosedale, MD
- NPI 1912684267
-
- Mental Health Counselor
- Laurel, MD
- NPI 1831888593
-
- Clinical Social Worker
- Manhattan, KS
- NPI 1437819869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683417600000",
"number": "1205447828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 2ND ST NORTH",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231805",
"telephone_number": "256-457-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 2ND ST NORTH",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231805",
"telephone_number": "256-457-8948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESUMBE",
"first_name": "LASHUNDRA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2023-05-07",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.