Organization Active NPI

Michael Nwandu DNP, Pmhnp-BC, LLC

  • Professional Counselor
  • Lutherville, MD
National Provider Identifier
1285250191
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MICHAEL NWANDU DNP, PMHNP-BC, LLC
Practice address
1301 York Rd Ste 601
Lutherville, MD 21093-6009
Phone
(410) 900-7617
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Michael Nwandu, NPNPI 1053961987
Title
Dr/Dir.
Phone
(410) 900-7617

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1301 York Rd Ste 601
Lutherville, MD 21093-6009

Mailing address

5702 Country Farm Rd
White Marsh, MD 21162-1723
Phone (410) 900-7617

Other names 1

  • MNC Wellness center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922000072 MD Part B Supplier - Clinic/Group Practice 4880012996 Receives reassigned benefits from 1 practitioner
Practice locations: Lutherville, MD

National Provider Directory

National Provider Directory

Locations

1301 York Rd
Ste 601
Lutherville, MD 21093
Phone (443) 442-4818

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": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1285250191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 COUNTRY FARM RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621723",
            "telephone_number": "410-900-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 601",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936009",
            "telephone_number": "410-900-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL NWANDU DNP, PMHNP-BC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "NWANDU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DR/DIR.",
        "authorized_official_telephone_number": "410-900-7617",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNC Wellness center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MNC Wellness center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.