Mikail S Lumumba

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.189178 Issued in OH

Practice address

6001 Woodland Ave Ste 703
Cleveland, OH 44104-2775

Phone

(216) 466-6161

NPI assigned

Feb 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1407554991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 FAIRWAY DR APT 403",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351892",
            "telephone_number": "216-466-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WOODLAND AVE STE 703",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441042775",
            "telephone_number": "216-466-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMUMBA",
        "first_name": "MIKAIL",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.189178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dissajee Lumbiganon, M.D.
• Mollie Lumpkin, PHARMD
• Raymond Lumpkin, PT
• Shawndra Yesmeane Lumpkin, LPN
• Lolita C. C. Lumumba
• Sumer Lee Luna, MSW
• Vicente A Luna, MD
• Jessica Lund
• Daphne Lunden, PHD
• Erika Louise Lundgrin, MD, MS

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.