Individual provider Active NPI

Kesta Medoit, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1265135222
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC16910 Issued in MD
Practice address
300 E Lombard St
Baltimore, MD 21202-3219
Phone
(410) 888-0977
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP13551 MD
Mental Health Counselor 101YM0800X LC16910 MD Primary

Addresses

Primary practice location

300 E Lombard St
Baltimore, MD 21202-3219

Mailing address

300 E Lombard St
Baltimore, MD 21202-3219
Phone (443) 470-9755

Other practice location 1

7350 Van Dusen Rd Ste 130B40
Laurel, MD 20707-5263
Phone (301) 490-1011

Other practice location 2

325 Ellington Blvd
Gaithersburg, MD 20878-4591
Phone (240) 428-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2025 through Oct 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC16910MDMDMental Health Counselor
LGP13551MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synty Wellness, LLC Current Accepting new patients

Organizations & group practices 1

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1265135222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023219",
            "telephone_number": "443-470-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023219",
            "telephone_number": "410-888-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Van Dusen Rd Ste 130B40",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075263",
            "country_code": "US",
            "telephone_number": "301-490-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Ellington Blvd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208784591",
            "country_code": "US",
            "telephone_number": "240-428-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDOIT",
        "first_name": "KESTA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP13551",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC16910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.