Individual provider Active NPI

Jamila A. Sanda, LGPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1295408961
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP11717 Issued in MD
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

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260427001674 DC Practitioner - Mental Health Counselor 5193292217 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LGP11717MDMDMental 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

Verify at the official NPI Registry.