Organization Active NPI

Sankofa Lyfe, LLC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1205767720
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANKOFA LYFE, LLC
Practice address
8865 Stanford Blvd Ste 202
Columbia, MD 21045-5422
Phone
(240) 599-8889
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Ms. Jermaine Petit, LCPCNPI 1326509860
Title
Owner
Phone
(410) 940-7003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8865 Stanford Blvd Ste 202
Columbia, MD 21045-5422

Mailing address

8865 Stanford Blvd Ste 202
Columbia, MD 21045-5422
Phone (240) 599-8889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1205767720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 STANFORD BLVD STE 202",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455422",
            "telephone_number": "240-599-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 STANFORD BLVD STE 202",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455422",
            "telephone_number": "240-599-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA LYFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-940-7003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.