NPIMap

Organization Active NPI

Lynsene Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery Village, MD
National Provider Identifier
1467134429
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LYNSENE CARE LLC
Practice address
19650 Club House Rd Ste 202-a
Montgomery Village, MD 20886-3003
Phone
(301) 337-9642
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Lydia OparaNPI 1558955054
Title
Owner
Phone
(301) 337-9642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

19650 Club House Rd Ste 202-a
Montgomery Village, MD 20886-3003

Mailing address

10440 Carlyn Ridge Rd
Damascus, MD 20872-2157
Phone (301) 337-9642

Other practice location 1

814 Toll House Ave
Frederick, MD 21701-4519
Phone (301) 337-9642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809002521 DC Part B Supplier - Clinic/Group Practice 8628430543 Receives reassigned benefits from 4 practitioners
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1467134429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 CARLYN RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722157",
            "telephone_number": "301-337-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD STE 202-A",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863003",
            "telephone_number": "301-337-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Toll House Ave",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014519",
            "country_code": "US",
            "telephone_number": "301-337-9642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNSENE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "OPARA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-337-9642"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.