Individual provider Active NPI

Juliet Lum Numfor

  • Psychiatric/Mental Health Nurse Practitioner
  • Reisterstown, MD
National Provider Identifier
1205554359
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R210922 Issued in MD
Practice address
1000 Marshane Rd
Reisterstown, MD 21136-5860
Phone
(301) 785-3633
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R210922 MD Primary

Addresses

Primary practice location

1000 Marshane Rd
Reisterstown, MD 21136-5860

Mailing address

1000 Marshane Rd
Reisterstown, MD 21136-5860
Phone (301) 785-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240604000154 MD Practitioner - Nurse Practitioner 6901348127 Reassigns benefits to 6 organizations
I20240604000559 DC Practitioner - Nurse Practitioner 6901348127 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spiritual HealingGroup PAC ID 7113388802, 22 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians
Magnolia Behavior Health Center LLCGroup PAC ID 5193165645, 4 clinicians

Practice addresses (Care Compare)

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

604 Solarex CT
Unit 205
Frederick, MD 21703-8655
Phone (240) 919-6062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare, LLC CurrentSince Apr 26, 2024 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Olympus Health Care LLC CurrentSince Sep 14, 2024 Accepting new patients
Toller Enterprises LLC CurrentSince Apr 1, 2025 Accepting new patients
Spiritual Healing CurrentSince Apr 1, 2025 Accepting new patients
Magnolia Behavior Health Center LLC CurrentSince Jul 12, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients
Apex Healthcare, LLC CurrentSince Apr 26, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

3455 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone (240) 919-6062

604 Solarex Ct
Unit 205
Frederick, MD 21703
Phone (240) 919-6062

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

6340 Security Blvd
Ste 100
Woodlawn, MD 21207
Phone (443) 413-9942

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1205554359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365860",
            "telephone_number": "301-785-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365860",
            "telephone_number": "301-785-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUMFOR",
        "first_name": "JULIET",
        "middle_name": "LUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.