Individual provider Active NPI

Alphonso Lewis, LCPC, NCC

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1376867986
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3460 Issued in MD
Practice address
14460 Old Mill Rd
Suite 201
Upper Marlboro, MD 20772-3092
Phone
(301) 237-2638
Fax
(301) 574-0063
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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 LC3460 MD Primary

Addresses

Primary practice location

14460 Old Mill Rd
Suite 201
Upper Marlboro, MD 20772-3092

Mailing address

14201 Christian St
Upper Marlboro, MD 20772-6815
Phone (301) 237-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alphonso Lewis Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 22, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 22, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

Organizations & group practices 6

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1376867986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 CHRISTIAN ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726815",
            "telephone_number": "301-237-2638",
            "fax_number": "301-574-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 OLD MILL RD",
            "address_2": "SUITE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723092",
            "telephone_number": "301-237-2638",
            "fax_number": "301-574-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ALPHONSO",
        "name_prefix": "Mr.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.