Individual provider Active NPI

Stacye Brown Loman

  • Addiction (Substance Use Disorder) Counselor
  • Landover, MD
National Provider Identifier
1447061874
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
250116122 Issued in MD
Practice address
8400 Corporate Drive
Suite 435
Landover, MD 20785
Phone
(301) 806-7750
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 250116122 MD Primary

Addresses

Primary practice location

8400 Corporate Drive
Suite 435
Landover, MD 20785

Mailing address

8400 Corporate Drive
Suite 435
Landover, MD 20785
Phone (301) 806-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
250116122MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SNLJ Outpatient Care LLC Addiction (Substance Use Disorder) CurrentSince Jan 19, 2025 Accepting new patients

Locations

8400 Corporate Dr
Ste 435
Landover, MD 20785
Phone (301) 806-7750

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1447061874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 CORPORATE DRIVE",
            "address_2": "SUITE 435",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-806-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 CORPORATE DRIVE",
            "address_2": "SUITE 435",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-806-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN LOMAN",
        "first_name": "STACYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "250116122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.