Individual provider Active NPI

Lavonda Dunn, MS, LCPC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1386002244
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6091 Issued in MD
Practice address
5 Public SQ Ste 207
Hagerstown, MD 21740-5599
Phone
(301) 730-4192
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC6091 MD Primary

Addresses

Primary practice location

5 Public SQ Ste 207
Hagerstown, MD 21740-5599

Mailing address

366 Yorkshire Dr
Hagerstown, MD 21740-3541
Phone (301) 730-4192

Other practice location 1

366 Yorkshire Dr
Hagerstown, MD 21740-3541
Phone (301) 730-4192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250114001280 MD Practitioner - Mental Health Counselor 9638605736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC6091MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Change Health Systems, Inc CurrentSince Oct 23, 2024 Accepting new patients
Change Health Systems, Inc. CurrentSince Oct 23, 2024 Accepting new patients
Change Health Systems, Inc Current Accepting new patients

Locations

2401 Liberty Heights Ave
Ste 4670
Baltimore, MD 21215
Phone (410) 233-1088

44 N Potomac St
Ste 101
Hagerstown, MD 21740
Phone (240) 347-1403

Organizations & group practices 3

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1386002244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 YORKSHIRE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403541",
            "telephone_number": "301-730-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PUBLIC SQ STE 207",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405599",
            "telephone_number": "301-730-4192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Yorkshire Dr",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217403541",
            "country_code": "US",
            "telephone_number": "301-730-4192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "LAVONDA",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.