Active NPI
Tayla Fawumi
- Professional Counselor
- Bowie, MD
National Provider Identifier
1467100503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13755
- Practice address
- 15480 Annapolis Rd Ste 202
Bowie, MD 20715-1803 - Phone
- (301) 204-0427
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC13755 | MD | Primary |
Addresses
Primary practice location
15480 Annapolis Rd Ste 202
Bowie, MD 20715-1803
Mailing address
337 Green Mountain CT
Pasadena, MD 21122-1169
Phone (301) 204-0427
Other names 1
- Tayla Halmon
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC13755 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738972800000",
"number": "1467100503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 GREEN MOUNTAIN CT",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221169",
"telephone_number": "301-204-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15480 ANNAPOLIS RD STE 202",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151803",
"telephone_number": "301-204-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWUMI",
"first_name": "TAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2025-02-08",
"certification_date": "2025-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC13755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLA",
"last_name": "HALMON",
"credential": "LGPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.