Individual provider Active NPI

Brandi Mundie, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1417675497
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC15942 Issued in MD
Practice address
4128 Hayward Ave
Baltimore, MD 21215-4340
Phone
(410) 357-6599
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 LC15942 MD Primary

Addresses

Primary practice location

4128 Hayward Ave
Baltimore, MD 21215-4340

Mailing address

4128 Hayward Ave
Baltimore, MD 21215-4340
Phone (410) 357-6599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Bpreston@cbtbaltimore.com Direct

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
I20260513003226 MD Practitioner - Mental Health Counselor 2769951334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Wellness LLCGroup PAC ID 6406278803, 22 clinicians

Practice addresses (Care Compare)

4128 Hayward Ave
Suite W
Baltimore, MD 21215-4340
Phone (410) 314-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC15942MDMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: bpreston@cbtbaltimore.com
  • Direct secure messaging: brandi.preston.p1@direct.mdwellness.nextgenshare.com

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417675497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 HAYWARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154340",
            "telephone_number": "410-357-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 HAYWARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154340",
            "telephone_number": "410-357-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDIE",
        "first_name": "BRANDI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bpreston@cbtbaltimore.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1212 York Rd Ste A302",
            "city": "Lutherville Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210936245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.