Lavi

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LAVI

Practice address

10670 Sourwood Ave
Waldorf, MD 20603-5716

Phone

(301) 579-4854

NPI assigned

Apr 16, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yolanda Hayes

Title

Credentialing Specialist

Phone

(443) 345-1317

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzan Francis, EDD

  • Professional Counselor
  • Waldorf, MD
  • NPI 1013414762
  Medicare reassignment NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1700467222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 SOURWOOD AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035716",
            "telephone_number": "301-579-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 SOURWOOD AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035716",
            "telephone_number": "301-579-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "443-345-1317"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Harry Lasher, DDS
• Heike Lasoski
• Trevon Jerome Latson
• Tina Cornish Laury, LCPC
• Mark S Lavetti, DDS
• Olujare-Abiola Lawal
• Nicole Lawrence, LICSW
• Dominique Darnise Lawson, PSYD
• Lca Psychological Associates, LLC (Mackenzie Counseling and Consultation Services)
• Natasha Leake, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.