Organization Active NPI

Celebra Med LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Abingdon, MD
National Provider Identifier
1225662968
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CELEBRA MED LLC
Practice address
3105 Emmorton Rd Ste 2D
Abingdon, MD 21009-2591
Phone
(443) 693-7301
NPI assigned
Mar 2, 2020
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Herman Ndungu, PMHNP-BCNPI 1992345714
Title
Owner
Phone
(443) 693-7301

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

3105 Emmorton Rd Ste 2D
Abingdon, MD 21009-2591

Mailing address

3105 Emmorton Rd Ste 2D
Abingdon, MD 21009-2591
Phone (443) 693-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200723002525 MD Part B Supplier - Clinic/Group Practice 0446674360 Receives reassigned benefits from 1 practitioner
Practice locations: Abingdon, MD

National Provider Directory

National Provider Directory

Locations

3105 Emmorton Rd
Ste 2D
Abingdon, MD 21009
Phone (443) 693-7301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1225662968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 EMMORTON RD STE 2D",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092591",
            "telephone_number": "443-693-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 EMMORTON RD STE 2D",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092591",
            "telephone_number": "443-693-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRA MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-693-7301",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.