Active NPI
Jamila A. Sanda, LGPC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1295408961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP11717
- Practice address
- 300 E Lombard St Ste 840
Baltimore, MD 21202-3231 - Phone
- (800) 994-5403
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP11717 | MD | Primary |
Addresses
Primary practice location
300 E Lombard St Ste 840
Baltimore, MD 21202-3231
Mailing address
3 Raylon Dr Apt F
Nottingham, MD 21236-4944
Phone (443) 857-0642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3 Raylon Dr
Apt F
Nottingham, MD 21236-4944
4056 Shannon Brown Dr
Orlando, FL 32808-1725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP11717 | MD | MD | Mental Health Counselor |
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": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1295408961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RAYLON DR APT F",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364944",
"telephone_number": "443-857-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LOMBARD ST STE 840",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023231",
"telephone_number": "800-994-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDA",
"first_name": "JAMILA",
"middle_name": "A.",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP11717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.