Lacresha Edwina Mitchener

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7041 Issued in MD

Practice address

3001 Hospital Dr
Cheverly, MD 20785-1189

Phone

(301) 357-5408

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD
• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822
  NPD
• Premier Health Care LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1871962548
  NPD (past)

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1598396293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-857-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-357-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851189",
            "country_code": "US",
            "telephone_number": "301-357-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHENER",
        "first_name": "LACRESHA",
        "middle_name": "EDWINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Group Care Inc
• Chiamaka Faith Michael I
• Mik Homecare Solutions
• Mindful Behavioral of Maryland
• Miracle Medical LLC
• Carlos Julio Molestina, PA-C
• Samuel Arc'Hie Moore III
• Lina Paola Moreno Rangel, MD
• Zainab N Moriba, FNP
• Mosam Cardiovascular Surgery Associates LLC

• Professional Counselor in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.